SHIRLEY J HIGGINBOTHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097884

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

HIGGINBOTHAM

Business Name

SHIRLEY J HIGGINBOTHAM

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

03/31/1996

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005