MAUDE A CANHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065094

License Status

NOT RENEWED

Business

First Name

MAUDE A

Last Name

CANHAM

Business Name

MAUDE A CANHAM

Original Issue Date

04/02/1976

Effective Date

04/02/1976

Expiration Date

03/31/1992

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005