DENNIS EUGENE MOTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155033

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

EUGENE

Last Name

MOTLEY

Business Name

DENNIS EUGENE MOTLEY

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006