ANN M GAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222559

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

GAINES

Business Name

ANN M GAINES

Original Issue Date

12/18/2013

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015