SHAWN P MENCKOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210820

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

MENCKOWSKI

Business Name

SHAWN P MENCKOWSKI

Original Issue Date

05/04/2012

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/20/2016