ADAM B CHILDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141825

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

CHILDS

Business Name

ADAM B CHILDS

Original Issue Date

04/12/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009