LAURA S BIRD MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087773

License Status

NOT RENEWED

Business

Title

First Name

LAURA S

Last Name

BIRD

Business Name

LAURA S BIRD MD

Original Issue Date

09/10/1988

Effective Date

09/10/1988

Expiration Date

03/31/1993

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005