ANGIE L DODGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164640

License Status

INACTIVE

Business

First Name

ANGIE

Middle

Last Name

DODGE

Business Name

ANGIE L DODGE

Original Issue Date

10/27/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

STREATOR

State

Zip

61364

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/10/2008