SELENA M BOWEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144772

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

Last Name

BOWEN

Business Name

SELENA M BOWEN

Original Issue Date

09/24/2002

Effective Date

09/24/2002

Expiration Date

03/31/2006

City

VICKSBURG

State

Zip

49097

Ever Disciplined

LastModifiedDate

05/11/2006