DALE KENRIC SPOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133589

License Status

NOT RENEWED

Business

First Name

DALE

Middle

KENRIC

Last Name

SPOON

Business Name

DALE KENRIC SPOON

Original Issue Date

11/09/2000

Effective Date

11/09/2000

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005