SHANNON MICHAEL PACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179632

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MICHAEL

Last Name

PACE

Business Name

SHANNON MICHAEL PACE

Original Issue Date

10/01/2007

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

DE PERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013