DAWN MARIE HARLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156781

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MARIE

Last Name

HARLEY

Business Name

DAWN MARIE HARLEY

Original Issue Date

08/19/2004

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011