SHANNON L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146314

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

SMITH

Business Name

SHANNON L SMITH

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

03/31/2006

City

GREENFIELD

State

Zip

53228

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2006