DALE C QUEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103619

License Status

NOT RENEWED

Business

First Name

DALE C

Last Name

QUEEN

Business Name

DALE C QUEEN

Original Issue Date

06/04/1993

Effective Date

06/04/1993

Expiration Date

03/31/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

12/06/2005