CANDACE LATRICE AGNEW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169328

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

LATRICE

Last Name

AGNEW

Business Name

CANDACE LATRICE AGNEW

Original Issue Date

06/15/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2008