STEWART A DORSEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157394

License Status

NOT RENEWED

Business

First Name

STEWART

Middle

Last Name

DORSEY

Business Name

STEWART A DORSEY

Original Issue Date

10/08/2004

Effective Date

10/08/2004

Expiration Date

03/31/2005

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005