CLAYTON LEE ANTHONY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119464

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

LEE

Last Name

ANTHONY

Business Name

CLAYTON LEE ANTHONY

Original Issue Date

12/01/1997

Effective Date

12/01/1997

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005