ELIZABETH A SOUTHWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211222

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

SOUTHWORTH

Prefix

Business Name

ELIZABETH A SOUTHWORTH

Original Issue Date

05/22/2012

Effective Date

05/22/2012

Expiration Date

03/31/2013

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013