SELINA COLLEEN SHANAHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256248

License Status

NOT RENEWED

Business

First Name

SELINA

Middle

COLLEEN

Last Name

SHANAHAN

Business Name

SELINA COLLEEN SHANAHAN

Original Issue Date

02/20/2018

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021