STEPHANIE ANN SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246892

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

SHAW

Business Name

STEPHANIE ANN SHAW

Original Issue Date

12/06/2016

Effective Date

03/17/2017

Expiration Date

03/31/2018

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

06/19/2018