ANITA M WEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058991

License Status

NOT RENEWED

Business

First Name

ANITA M

Last Name

WEST

Business Name

ANITA M WEST

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005