DONNA G CLAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104681

License Status

NOT RENEWED

Business

First Name

DONNA G

Last Name

CLAY

Business Name

DONNA G CLAY

Original Issue Date

09/30/1993

Effective Date

09/30/1993

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005