ANGELA S DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145076

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

DODGE

Business Name

ANGELA S DODGE

Original Issue Date

10/02/2002

Effective Date

10/02/2002

Expiration Date

03/31/2006

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2006