LYNNE D DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123138

License Status

NOT RENEWED

Business

First Name

LYNNE

Middle

Last Name

DOUGLAS

Business Name

LYNNE D DOUGLAS

Original Issue Date

10/06/1998

Effective Date

01/27/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012