DUSTIN M HOVERMALE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156060

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

HOVERMALE

Business Name

DUSTIN M HOVERMALE

Original Issue Date

07/12/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ST FRANCISVILLE

State

Zip

62460

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/14/2007