KEATON A SHUMARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232003

License Status

NOT RENEWED

Business

First Name

KEATON

Middle

Last Name

SHUMARD

Business Name

KEATON A SHUMARD

Original Issue Date

03/29/2015

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/10/2017