ALECIA R DAHLQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106633

License Status

NOT RENEWED

Business

First Name

ALECIA

Middle

Last Name

DAHLQUIST

Business Name

ALECIA R DAHLQUIST

Original Issue Date

04/19/1994

Effective Date

04/19/1994

Expiration Date

03/31/1997

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005