TRAVIS A DASH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111402

License Status

NOT RENEWED

Business

First Name

TRAVIS A

Last Name

DASH

Business Name

TRAVIS A DASH

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005