SHANNON IRENE BRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049315350

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

IRENE

Last Name

BRAKE

Business Name

SHANNON IRENE BRAKE

Original Issue Date

09/23/2024

Effective Date

09/23/2024

Expiration Date

03/31/2025

City

PEORIA HEIGHTS

State

Zip

61616

County

ADAMS

Ever Disciplined

LastModifiedDate

07/08/2025