DONNA L ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091504

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

ALLEN

Business Name

DONNA L ALLEN

Original Issue Date

10/24/1989

Effective Date

10/24/1989

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005