REAGAN D DETTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120130

License Status

NOT RENEWED

Business

First Name

REAGAN

Middle

Last Name

DETTMAN

Business Name

REAGAN D DETTMAN

Original Issue Date

02/24/1998

Effective Date

02/24/1998

Expiration Date

03/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005