DENNIS KEITH SLAGELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057031

License Status

NOT RENEWED

Business

First Name

DENNIS KEITH

Last Name

SLAGELL

Business Name

DENNIS KEITH SLAGELL

Original Issue Date

10/29/1971

Effective Date

10/29/1971

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005