MICHAEL WAYNE DEATON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150042

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

DEATON

Business Name

MICHAEL WAYNE DEATON

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/28/2005

Case Number

2003008767

Action

Suspension

Discipline Start Date

11/09/2005

Discipline Reason

Made a misrepresentation to the Division for the purpose of obtaining a license by failing to indicate he was convicted of DWI on August 31, 1999.