CONNIE S FOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080408

License Status

NOT RENEWED

Business

First Name

CONNIE S

Last Name

FOX

Business Name

CONNIE S FOX

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005