MITZI R DUBOSE - Pharmacist License in Illinois | # 049149223

MITZI R DUBOSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149223

License Status

NOT RENEWED

Business

N

First Name

MITZI

Middle

R

Last Name

DUBOSE

Business Name

MITZI R DUBOSE

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005