BRYAN G SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296115

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

SHAW

Business Name

BRYAN G SHAW

Original Issue Date

08/17/2012

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

DALLAS

State

Zip

75204

Ever Disciplined

LastModifiedDate

10/14/2022