SHANNON LEA RALPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275722

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEA

Last Name

RALPH

Business Name

SHANNON LEA RALPH

Original Issue Date

09/15/2020

Effective Date

09/15/2020

Expiration Date

03/31/2021

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/20/2021