MADELYN GRACE SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266412

License Status

NOT RENEWED

Business

First Name

MADELYN

Middle

GRACE

Last Name

SHEPARD

Business Name

MADELYN GRACE SHEPARD

Original Issue Date

07/02/2019

Effective Date

07/02/2019

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021