EFFIE M CLAYBOURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144217

License Status

NOT RENEWED

Business

First Name

EFFIE

Middle

Last Name

CLAYBOURN

Business Name

EFFIE M CLAYBOURN

Original Issue Date

08/19/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2009