DENA E GAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160683

License Status

NOT RENEWED

Business

First Name

DENA

Middle

Last Name

GAW

Business Name

DENA E GAW

Original Issue Date

04/29/2005

Effective Date

04/29/2005

Expiration Date

03/31/2006

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006