CAROL ANN PROVINES-NEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108887

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

PROVINES-NEAL

Business Name

CAROL ANN PROVINES-NEAL

Original Issue Date

11/23/1994

Effective Date

11/23/1994

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006