SHANNAN J HEDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246514

License Status

NOT RENEWED

Business

First Name

SHANNAN

Middle

Last Name

HEDGE

Business Name

SHANNAN J HEDGE

Original Issue Date

11/22/2016

Effective Date

03/30/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

06/19/2018