CASSANDRA D SHACKELFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215692

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

Last Name

SHACKELFORD

Business Name

CASSANDRA D SHACKELFORD

Original Issue Date

01/24/2013

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014