CHERYL ANNE BASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145152

License Status

NOT RENEWED

Business

First Name

CHERYL

Middle

ANNE

Last Name

BASHAM

Business Name

CHERYL ANNE BASHAM

Original Issue Date

10/09/2002

Effective Date

10/09/2002

Expiration Date

03/31/2004

City

MT JULIET

State

Zip

37122

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/20/2005