DONNA MARIE FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066212

License Status

NOT RENEWED

Business

First Name

DONNA MARIE

Last Name

FUNK

Business Name

DONNA MARIE FUNK

Original Issue Date

10/08/1976

Effective Date

10/08/1976

Expiration Date

01/01/1997

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005