ADAM R BEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183837

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

BEAN

Business Name

ADAM R BEAN

Original Issue Date

04/23/2008

Effective Date

01/21/2011

Expiration Date

03/31/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/07/2012