CAROLYN S WASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094500

License Status

NOT RENEWED

Business

First Name

CAROLYN S

Last Name

WASHAM

Business Name

CAROLYN S WASHAM

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/1995

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005