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Fager, Shannon Scott - Pharmacist

Fager, Shannon Scott - (Pharmacist)

Lees Summit, MO 64064
License# : 2014023605 - Issued on : 7/10/2014
Doing Business As :
Licensee Name:Fager, Shannon Scott 
Profession Name:Pharmacist 
Licensee Number:2014023605  
Expiration Date:10/31/2016 
Original Issue Date:7/10/2014 
Address: 
Address Con't: 
City, State Zip:Lees Summit, MO 64064 
County:Jackson 
Practitioner DBA Name: 
Classification: 

Current Discipline Status:None

Certification Type:Effective Date:Expiration Date:
NOI - Administration By Medical Prescription Order4/17/20154/15/2016

Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO  65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists