SHANNON L FOGLESONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193464

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

FOGLESONG

Business Name

SHANNON L FOGLESONG

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

03/31/2010

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010