BONNIE DIANE DECKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153507

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

DIANE

Last Name

DECKER

Business Name

BONNIE DIANE DECKER

Original Issue Date

03/09/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WESTFIELD

State

Zip

62474

County

CLARK

Ever Disciplined

LastModifiedDate

05/14/2007