SHOSANAH V BASHFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224071

License Status

NOT RENEWED

Business

First Name

SHOSANAH

Middle

Last Name

BASHFORD

Business Name

SHOSANAH V BASHFORD

Original Issue Date

03/25/2014

Effective Date

03/25/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015