BETHANIE LANE METCALF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137958

License Status

NOT RENEWED

Business

First Name

BETHANIE

Middle

LANE

Last Name

METCALF

Business Name

BETHANIE LANE METCALF

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2004

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005