SHANTA L COWINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180340

License Status

NOT RENEWED

Business

First Name

SHANTA

Middle

Last Name

COWINS

Business Name

SHANTA L COWINS

Original Issue Date

11/02/2007

Effective Date

11/02/2007

Expiration Date

03/31/2008

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008