DANA LYNN POLK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123140

License Status

NOT RENEWED

Business

First Name

DANA

Middle

LYNN

Last Name

POLK

Business Name

DANA LYNN POLK

Original Issue Date

10/06/1998

Effective Date

10/06/1998

Expiration Date

03/31/2001

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005