MEGAN G BOTTEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166545

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

BOTTEM

Business Name

MEGAN G BOTTEM

Original Issue Date

02/17/2006

Effective Date

02/17/2006

Expiration Date

03/31/2007

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

05/14/2007