ANGELA M MAYHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190001

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

MAYHAM

Business Name

ANGELA M MAYHAM

Original Issue Date

03/03/2009

Effective Date

04/05/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014