Utah
Division of Occupational and Professional Licensing
JACK MILLER SHADLE
Pharmacy - Pharmacist
License number
139245-1701
Date granted
01/01/1910
Date expires
12/31/1990
Class
Pharmacy - Pharmacist
Status
Expired
Address
BOULDER, CO 80303
utahlicensing.org
ID 29885191
LAST UPDATED 2026-06-02 18:24:51 UTC
LAST UPDATED 2026-06-02 18:24:51 UTC
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