DIJON PAUL DELAPORTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159720

License Status

NOT RENEWED

Business

First Name

DIJON

Middle

PAUL

Last Name

DELAPORTE

Business Name

DIJON PAUL DELAPORTE

Original Issue Date

03/28/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/02/2008