ASHLEY C PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156687

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

PAYNE

Business Name

ASHLEY C PAYNE

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006