BEVERLY J GANT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202503

License Status

INACTIVE

Business

First Name

BEVERLY

Middle

Last Name

GANT

Prefix

Business Name

BEVERLY J GANT

Original Issue Date

01/26/2011

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

01/03/2013