CYNTHIA ANN PROVINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263382

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

ANN

Last Name

PROVINES

Business Name

CYNTHIA ANN PROVINES

Original Issue Date

02/15/2019

Effective Date

02/15/2019

Expiration Date

09/30/2020

City

SUMNER

State

Zip

62466

County

LAWRENCE

Ever Disciplined

LastModifiedDate

01/08/2021