BETH ANN MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096788

License Status

NOT RENEWED

Business

First Name

BETH ANN

Last Name

MAYFIELD

Business Name

BETH ANN MAYFIELD

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

03/31/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005