SHANNON M SALLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190502

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

SALLO

Business Name

SHANNON M SALLO

Original Issue Date

03/26/2009

Effective Date

03/08/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019