DEANNA RAE DOUGLASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103153

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

RAE

Last Name

DOUGLASS

Business Name

DEANNA RAE DOUGLASS

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

03/31/1998

City

BROUGHTON

State

Zip

62817

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/17/2005