BETH ELLEN CANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121690

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ELLEN

Last Name

CANNON

Business Name

BETH ELLEN CANNON

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2003

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005