TRISHA A FLUCKIGER DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144727

License Status

NOT RENEWED

Business

Title

DMD

First Name

TRISHA

Middle

Last Name

FLUCKIGER

Business Name

TRISHA A FLUCKIGER DMD

Original Issue Date

09/20/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007