SHANNA D BACKUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210014

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

Last Name

BACKUS

Prefix

Business Name

SHANNA D BACKUS

Original Issue Date

03/30/2012

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

POTOMAC

State

Zip

61865

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2013