SHELLEY BETH SPAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036488

License Status

NOT RENEWED

Business

First Name

SHELLEY BETH

Last Name

SPAIN

Business Name

SHELLEY BETH SPAIN

Original Issue Date

01/07/1987

Effective Date

01/07/1987

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005