SHANE ETHAN AUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191986

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

ETHAN

Last Name

AUSTIN

Business Name

SHANE ETHAN AUSTIN

Original Issue Date

05/28/2009

Effective Date

03/04/2014

Expiration Date

03/31/2015

City

OPDYKE

State

Zip

62872

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/11/2015