SHELLY JO WARDLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130658

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

WARDLE

Business Name

SHELLY JO WARDLE

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

03/31/2003

City

WEST TERRE HAUTE

State

Zip

47885

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005