CYNTHIA A BASHUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083384

License Status

NOT RENEWED

Business

First Name

CYNTHIA A

Last Name

BASHUSEN

Business Name

CYNTHIA A BASHUSEN

Original Issue Date

09/30/1986

Effective Date

09/30/1986

Expiration Date

03/31/1999

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005