THOMAS DALE MONROE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058209

License Status

NOT RENEWED

Business

First Name

THOMAS DALE

Last Name

MONROE

Business Name

THOMAS DALE MONROE

Original Issue Date

08/12/1972

Effective Date

08/12/1972

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005