FAWN M DILLIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084157

License Status

NOT RENEWED

Business

First Name

FAWN M

Last Name

DILLIE

Business Name

FAWN M DILLIE

Original Issue Date

04/17/1987

Effective Date

06/29/2012

Expiration Date

03/31/2013

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

05/06/2013