BEULAH D HAMPTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100577

License Status

NOT RENEWED

Business

First Name

BEULAH D

Last Name

HAMPTON

Business Name

BEULAH D HAMPTON

Original Issue Date

06/29/1992

Effective Date

06/29/1992

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005