BETHANY MARIE MCINTOSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164454

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

MARIE

Last Name

MCINTOSH

Business Name

BETHANY MARIE MCINTOSH

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006