NATHAN SHANE METHENY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289107

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

SHANE

Last Name

METHENY

Business Name

NATHAN SHANE METHENY

Original Issue Date

12/23/2021

Effective Date

02/23/2022

Expiration Date

03/31/2023

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023