WHITNEY M PROVINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086418

License Status

NOT RENEWED

Business

First Name

WHITNEY M

Last Name

PROVINES

Business Name

WHITNEY M PROVINES

Original Issue Date

04/16/1988

Effective Date

04/16/1988

Expiration Date

03/31/1991

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/17/2005