ANGIE L DODGE - Pharmacist License in Illinois | # 049164640

ANGIE L DODGE

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164640

License Status

INACTIVE

Business

N

First Name

ANGIE

Middle

L

Last Name

DODGE

Business Name

ANGIE L DODGE

Original Issue Date

10/27/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008