JOE D. BASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251710

License Status

NOT RENEWED

Business

First Name

JOE

Middle

Last Name

BASHAM

Business Name

JOE D. BASHAM

Original Issue Date

07/06/2017

Effective Date

07/06/2017

Expiration Date

03/31/2018

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

06/19/2018