CLINTIN ZANE ROSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121169

License Status

NOT RENEWED

Business

First Name

CLINTIN

Middle

ZANE

Last Name

ROSS

Business Name

CLINTIN ZANE ROSS

Original Issue Date

05/22/1998

Effective Date

05/22/1998

Expiration Date

03/31/1999

City

PALMYRA

State

Zip

62674

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005