LORRAINE A HAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240050

License Status

NOT RENEWED

Business

First Name

LORRAINE

Middle

Last Name

HAM

Prefix

Business Name

LORRAINE A HAM

Original Issue Date

03/11/2016

Effective Date

03/11/2016

Expiration Date

03/31/2017

City

PALESTINE

State

Zip

62451

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/10/2017