SHANE A NEEDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229031

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

NEEDHAM

Prefix

Business Name

SHANE A NEEDHAM

Original Issue Date

11/06/2014

Effective Date

11/06/2014

Expiration Date

03/31/2015

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/11/2015