ADAM M HUMPHREYS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137568

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

HUMPHREYS

Business Name

ADAM M HUMPHREYS

Original Issue Date

08/08/2001

Effective Date

08/08/2001

Expiration Date

03/31/2004

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005