JOHN RALPH HENLY MCINTOSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057071

License Status

NOT RENEWED

Business

First Name

JOHN RALPH HENLY

Last Name

MCINTOSH

Business Name

JOHN RALPH HENLY MCINTOSH

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHANUTE AFB

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005