AGNES L INNIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131678

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

Last Name

INNIS

Business Name

AGNES L INNIS

Original Issue Date

07/19/2000

Effective Date

07/19/2000

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005