ANDREA GAYLE CANTRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148991

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

GAYLE

Last Name

CANTRELL

Business Name

ANDREA GAYLE CANTRELL

Original Issue Date

06/18/2003

Effective Date

06/18/2003

Expiration Date

03/31/2006

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/11/2006