CONNIE FRANCES BALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149291

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

FRANCES

Last Name

BALES

Business Name

CONNIE FRANCES BALES

Original Issue Date

06/26/2003

Effective Date

06/26/2003

Expiration Date

03/31/2005

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005