LARRAH LENN DUCKWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122895

License Status

NOT RENEWED

Business

First Name

LARRAH

Middle

LENN

Last Name

DUCKWORTH

Business Name

LARRAH LENN DUCKWORTH

Original Issue Date

09/25/1998

Effective Date

09/25/1998

Expiration Date

03/31/2005

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005