SHAWN ANXGRUAMBOM CHIAMBAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193147

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

ANXGRUAMBOM

Last Name

CHIAMBAH

Business Name

SHAWN ANXGRUAMBOM CHIAMBAH

Original Issue Date

07/22/2009

Effective Date

07/22/2009

Expiration Date

03/31/2010

City

BALTIMORE

State

Zip

21133

County

MAINE

Ever Disciplined

LastModifiedDate

05/04/2010