AMBER RENEE PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144156

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

RENEE

Last Name

PAYNE

Business Name

AMBER RENEE PAYNE

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/31/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006