DOUGLAS WADE SPERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065693

License Status

NOT RENEWED

Business

First Name

DOUGLAS WADE

Last Name

SPERRY

Business Name

DOUGLAS WADE SPERRY

Original Issue Date

07/02/1976

Effective Date

07/02/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005