CARISSA J BOWERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141145

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

Last Name

BOWERMAN

Business Name

CARISSA J BOWERMAN

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2004

City

CAMPBELL HILL

State

Zip

62916

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005