DOROTHY L WORTHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057480

License Status

NOT RENEWED

Business

First Name

DOROTHY L

Last Name

WORTHEN

Business Name

DOROTHY L WORTHEN

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

03/31/1984

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005