MICHAEL JAY BONHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117828

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAY

Last Name

BONHAM

Business Name

MICHAEL JAY BONHAM

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

03/31/1998

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005