CHARLES NICHOLAS CLAYCOMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161614

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

NICHOLAS

Last Name

CLAYCOMB

Business Name

CHARLES NICHOLAS CLAYCOMB

Original Issue Date

06/09/2005

Effective Date

03/16/2007

Expiration Date

03/31/2008

City

VINCENNES

State

Zip

47591

Ever Disciplined

LastModifiedDate

05/02/2008