MITCH WARD DENTON - Pharmacist License in Illinois | # 049123840

MITCH WARD DENTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123840

License Status

NOT RENEWED

Business

N

First Name

MITCH

Middle

WARD

Last Name

DENTON

Business Name

MITCH WARD DENTON

Original Issue Date

11/19/1998

Effective Date

11/19/1998

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005