CHANTAVON CLAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186749

License Status

NOT RENEWED

Business

First Name

CHANTAVON

Last Name

CLAY

Business Name

CHANTAVON CLAY

Original Issue Date

08/28/2008

Effective Date

07/19/2010

Expiration Date

03/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/12/2011