BEVERLY LAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062126

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

LAYNE

Business Name

BEVERLY LAYNE

Original Issue Date

08/23/1974

Effective Date

08/23/1974

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005