NANCY LEE ADAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059246

License Status

NOT RENEWED

Business

First Name

NANCY LEE

Last Name

ADAM

Business Name

NANCY LEE ADAM

Original Issue Date

03/26/1973

Effective Date

03/26/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005