SHANNON N CERUTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201757

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

CERUTTI

Business Name

SHANNON N CERUTTI

Original Issue Date

12/01/2010

Effective Date

03/27/2012

Expiration Date

03/31/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/06/2013