DAVID N MAKUTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094386

License Status

NOT RENEWED

Business

First Name

DAVID N

Last Name

MAKUTA

Business Name

DAVID N MAKUTA

Original Issue Date

09/11/1990

Effective Date

09/11/1990

Expiration Date

03/31/1997

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005