SHELLY D GARDNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234211

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

GARDNER

Business Name

SHELLY D GARDNER

Original Issue Date

07/02/2015

Effective Date

02/04/2016

Expiration Date

03/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017