ADAM ROBERT CANNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147400

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

ROBERT

Last Name

CANNON

Business Name

ADAM ROBERT CANNON

Original Issue Date

03/13/2003

Effective Date

03/13/2003

Expiration Date

03/31/2004

City

FOREST PARK

State

Zip

60130

Ever Disciplined

LastModifiedDate

10/20/2005