SHANNON NICOLE GARDNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204098

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

NICOLE

Last Name

GARDNER

Business Name

SHANNON NICOLE GARDNER

Original Issue Date

05/12/2011

Effective Date

05/12/2011

Expiration Date

03/31/2012

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012