RACHEL ANN CHAMPAGNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169761

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

ANN

Last Name

CHAMPAGNE

Business Name

RACHEL ANN CHAMPAGNE

Original Issue Date

07/05/2006

Effective Date

04/04/2011

Expiration Date

03/31/2012

City

VILLA GROVE

State

Zip

61956

Ever Disciplined

LastModifiedDate

05/07/2012