DAVID J DETERDING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128974

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

DETERDING

Business Name

DAVID J DETERDING

Original Issue Date

01/18/2000

Effective Date

01/18/2000

Expiration Date

03/31/2001

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/21/2005