DENIESE E WOMACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085703

License Status

NOT RENEWED

Business

First Name

DENIESE E

Last Name

WOMACK

Business Name

DENIESE E WOMACK

Original Issue Date

11/26/1987

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007