DAVID ALEXANDER BODEN-SHACKLETON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260084

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALEXANDER

Last Name

BODEN-SHACKLETON

Business Name

DAVID ALEXANDER BODEN-SHACKLETON

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

03/31/2019

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019