Shane E Carlock
ExpiredCalifornia license 27640
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27640
- Status
- Expired (Delinquent)
- First issued
- August 2, 2024
- Expired
- August 1, 2026
- License holder
- Shane E Carlock
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2024
- Degree
- Degree Not Applicable
Contact
700 Enterprise St
Aurora, IL 60504
Aurora, IL 60504