CAROL R ANTRIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145927

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

ANTRIM

Business Name

CAROL R ANTRIM

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2005

City

NEOGA

State

Zip

62447

County

COLES

Ever Disciplined

LastModifiedDate

10/20/2005