MIKE C DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146354

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

DOUGLAS

Business Name

MIKE C DOUGLAS

Original Issue Date

12/13/2002

Effective Date

12/13/2002

Expiration Date

03/31/2004

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

10/20/2005