CATHY JO DEATHERAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171469

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

Last Name

DEATHERAGE

Business Name

CATHY JO DEATHERAGE

Original Issue Date

09/20/2006

Effective Date

11/09/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021