ASHLEY RENEE SELF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143181

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

RENEE

Last Name

SELF

Business Name

ASHLEY RENEE SELF

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2003

City

WOODLAWN

State

Zip

62898

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005