GLEN D SHORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030872

License Status

NOT RENEWED

Business

First Name

GLEN D

Last Name

SHORE

Business Name

GLEN D SHORE

Original Issue Date

07/14/1976

Effective Date

07/14/1976

Expiration Date

03/31/1990

City

CAVE IN ROCK

State

Zip

62919

County

HARDIN

Ever Disciplined

LastModifiedDate

10/17/2005