DONNA LEE DWORSCHAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117167

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

LEE

Last Name

DWORSCHAK

Business Name

DONNA LEE DWORSCHAK

Original Issue Date

04/09/1997

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012