PAMELA JUNE CLOUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156620

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

JUNE

Last Name

CLOUSE

Business Name

PAMELA JUNE CLOUSE

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/11/2006