DONALD D FUNDERBURK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056106

License Status

NOT RENEWED

Business

First Name

DONALD D

Last Name

FUNDERBURK

Business Name

DONALD D FUNDERBURK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GODFREY

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005