DOUGLAS M EISELE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143682

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

EISELE

Business Name

DOUGLAS M EISELE

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

03/31/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005