BETH L STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164484

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

STALEY

Business Name

BETH L STALEY

Original Issue Date

09/01/2005

Effective Date

10/18/2005

Expiration Date

03/31/2006

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006