ROSE M UNDERWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116143

License Status

NOT RENEWED

Business

First Name

ROSE M

Last Name

UNDERWOOD

Business Name

ROSE M UNDERWOOD

Original Issue Date

12/06/1996

Effective Date

12/06/1996

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006