DALE EDWIN WEBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145389

License Status

NOT RENEWED

Business

First Name

DALE

Middle

EDWIN

Last Name

WEBER

Business Name

DALE EDWIN WEBER

Original Issue Date

10/17/2002

Effective Date

10/17/2002

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005