CODY LEN NORTHCUTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251109

License Status

NOT RENEWED

Business

First Name

CODY

Middle

LEN

Last Name

NORTHCUTT

Business Name

CODY LEN NORTHCUTT

Original Issue Date

06/07/2017

Effective Date

06/07/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018