CASEY NICOLE MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161204

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

NICOLE

Last Name

MAYFIELD

Business Name

CASEY NICOLE MAYFIELD

Original Issue Date

05/20/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/06/2009