KATHY BEASLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057845

License Status

NOT RENEWED

Business

First Name

KATHY

Last Name

BEASLEY

Business Name

KATHY BEASLEY

Original Issue Date

06/10/1972

Effective Date

06/10/1972

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005