EMILY GRACE BASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279779

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

GRACE

Last Name

BASHAM

Business Name

EMILY GRACE BASHAM

Original Issue Date

02/22/2021

Effective Date

02/23/2022

Expiration Date

03/31/2023

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

09/07/2023