HARLEN DALE EARHART Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060292

License Status

CANCELLED

Business

First Name

HARLEN DALE

Last Name

EARHART

Business Name

HARLEN DALE EARHART

Original Issue Date

09/21/1973

Effective Date

09/21/1973

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005