SHANE DAVID MARCANTEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300803

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

DAVID

Last Name

MARCANTEL

Business Name

SHANE DAVID MARCANTEL

Original Issue Date

03/22/2023

Effective Date

03/22/2023

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025