SHANNON J MANCY MAGNUSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188077

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

MANCY MAGNUSON

Business Name

SHANNON J MANCY MAGNUSON

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

03/31/2009

City

GALVA

State

Zip

61434

County

HENRY

Ever Disciplined

LastModifiedDate

05/06/2009