ANGELIQUE NICOLE GASAWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140895

License Status

NOT RENEWED

Business

First Name

ANGELIQUE

Middle

NICOLE

Last Name

GASAWAY

Business Name

ANGELIQUE NICOLE GASAWAY

Original Issue Date

02/21/2002

Effective Date

02/21/2002

Expiration Date

03/31/2003

City

CARBON CLIFF

State

Zip

61239

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005