TEILA D STOCKHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159262

License Status

NOT RENEWED

Business

First Name

TEILA

Middle

Last Name

STOCKHAM

Business Name

TEILA D STOCKHAM

Original Issue Date

02/16/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

05/02/2008