ASA M CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226581

License Status

NOT RENEWED

Business

First Name

ASA

Middle

Last Name

CHURCH

Business Name

ASA M CHURCH

Original Issue Date

07/19/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016