DORATHEA M DEVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159077

License Status

NOT RENEWED

Business

First Name

DORATHEA

Middle

Last Name

DEVILLE

Business Name

DORATHEA M DEVILLE

Original Issue Date

02/04/2005

Effective Date

02/04/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006