SHELLY A LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209964

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

LOPEZ

Prefix

Business Name

SHELLY A LOPEZ

Original Issue Date

03/27/2012

Effective Date

04/09/2020

Expiration Date

03/31/2021

City

CHERRYVALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021