JACQUELINE MARIE SHANLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286483

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

SHANLE

Business Name

JACQUELINE MARIE SHANLE

Original Issue Date

10/19/2021

Effective Date

10/19/2021

Expiration Date

05/31/2022

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022