BEVERLY A MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064763

License Status

NOT RENEWED

Business

First Name

BEVERLY A

Last Name

MASON

Business Name

BEVERLY A MASON

Original Issue Date

01/23/1976

Effective Date

01/23/1976

Expiration Date

01/01/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005