DOUGLAS DENNIS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064538

License Status

CANCELLED

Business

First Name

DOUGLAS

Last Name

DENNIS

Business Name

DOUGLAS DENNIS

Original Issue Date

12/05/1975

Effective Date

12/05/1975

Expiration Date

01/01/1997

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005