ALAN IRA DORFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137865

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

IRA

Last Name

DORFMAN

Business Name

ALAN IRA DORFMAN

Original Issue Date

08/29/2001

Effective Date

08/29/2001

Expiration Date

03/31/2002

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005