SEAN M DURHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134570

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

Last Name

DURHAM

Business Name

SEAN M DURHAM

Original Issue Date

02/20/2001

Effective Date

02/20/2001

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005