DONNA JEAN MAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122341

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JEAN

Last Name

MAST

Business Name

DONNA JEAN MAST

Original Issue Date

08/06/1998

Effective Date

08/06/1998

Expiration Date

03/31/2000

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005