KRISTINE LOUISE CANHAM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069068

License Status

CANCELLED

Business

First Name

KRISTINE LOUISE

Last Name

CANHAM

Business Name

KRISTINE LOUISE CANHAM

Original Issue Date

03/31/1978

Effective Date

03/31/1978

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005