LESA A BEAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153877

License Status

NOT RENEWED

Business

First Name

LESA A

Last Name

BEAVER

Business Name

LESA A BEAVER

Original Issue Date

03/24/2004

Effective Date

03/24/2004

Expiration Date

03/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005