REBECCA A BANE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077995

License Status

NOT RENEWED

Business

First Name

REBECCA A

Last Name

BANE

Business Name

REBECCA A BANE

Original Issue Date

03/24/1983

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012