CONNIE JEAN LANHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145548

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

JEAN

Last Name

LANHAM

Business Name

CONNIE JEAN LANHAM

Original Issue Date

10/28/2002

Effective Date

10/28/2002

Expiration Date

03/31/2003

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005