PAM J MADDOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158380

License Status

NOT RENEWED

Business

First Name

PAM

Middle

Last Name

MADDOX

Business Name

PAM J MADDOX

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

03/31/2006

City

SILVER LAKE

State

Zip

53170

Ever Disciplined

LastModifiedDate

05/11/2006