SAGE M BASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227107

License Status

NOT RENEWED

Business

First Name

SAGE

Middle

Last Name

BASHAM

Business Name

SAGE M BASHAM

Original Issue Date

08/11/2014

Effective Date

03/14/2016

Expiration Date

03/31/2017

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/10/2017