DY-ANA BEAU PALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192107

License Status

NOT RENEWED

Business

First Name

DY-ANA

Middle

BEAU

Last Name

PALM

Business Name

DY-ANA BEAU PALM

Original Issue Date

06/03/2009

Effective Date

02/23/2010

Expiration Date

03/31/2011

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2011