DANA C TITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083257

License Status

NOT RENEWED

Business

First Name

DANA C

Last Name

TITE

Business Name

DANA C TITE

Original Issue Date

08/29/1986

Effective Date

08/29/1986

Expiration Date

03/31/1991

City

WOOD RIVER

State

Zip

62095

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005