MARY L DISMUKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165057

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DISMUKE

Business Name

MARY L DISMUKE

Original Issue Date

11/17/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009