CARLY A BETHEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199554

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

BETHEA

Business Name

CARLY A BETHEA

Original Issue Date

07/22/2010

Effective Date

07/22/2010

Expiration Date

03/31/2011

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011