ADAM LEE MCINTOSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157218

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

LEE

Last Name

MCINTOSH

Business Name

ADAM LEE MCINTOSH

Original Issue Date

09/27/2004

Effective Date

09/27/2004

Expiration Date

03/31/2005

City

KAHOKA

State

Zip

63445

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/20/2005