SHANNON BORHART Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191872

License Status

INACTIVE

Business

First Name

SHANNON

Last Name

BORHART

Business Name

SHANNON BORHART

Original Issue Date

05/23/2009

Effective Date

05/23/2009

Expiration Date

03/31/2010

City

MONTICELLO

State

Zip

53570

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/12/2010