COLLEEN J SHAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196303

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

SHAVER

Business Name

COLLEEN J SHAVER

Original Issue Date

01/19/2010

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011