DEBORAH A DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112553

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

DODGE

Business Name

DEBORAH A DODGE

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

03/31/1997

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005