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 Order | 4/17/2015 | 4/15/2016 |
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
