DAVID R SHANKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190875

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

SHANKS

Business Name

DAVID R SHANKS

Original Issue Date

04/08/2009

Effective Date

04/08/2009

Expiration Date

03/31/2010

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010