MICHELLE D SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197680

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

SHAW

Business Name

MICHELLE D SHAW

BusinessDBA

MICHELLE DENENE SHAW

Original Issue Date

04/07/2010

Effective Date

02/02/2012

Expiration Date

03/31/2013

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

05/06/2013