SHAE GLENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213741

License Status

NOT RENEWED

Business

First Name

SHAE

Last Name

GLENN

Business Name

SHAE GLENN

Original Issue Date

09/26/2012

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015