SHANE BENJAMIN HARRISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243580

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

BENJAMIN

Last Name

HARRISON

Business Name

SHANE BENJAMIN HARRISON

Original Issue Date

07/27/2016

Effective Date

03/24/2021

Expiration Date

05/31/2022

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022