MITZI R DUBOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149223

License Status

NOT RENEWED

Business

First Name

MITZI

Middle

Last Name

DUBOSE

Business Name

MITZI R DUBOSE

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005