DUSTIN TROY PELATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154889

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

TROY

Last Name

PELATE

Business Name

DUSTIN TROY PELATE

Original Issue Date

06/10/2004

Effective Date

02/22/2016

Expiration Date

03/31/2017

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2017