ROBERT DALE LEE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065138

License Status

CANCELLED

Business

First Name

ROBERT DALE

Last Name

LEE

Business Name

ROBERT DALE LEE

Original Issue Date

04/09/1976

Effective Date

04/09/1976

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005