DONNA JEAN LIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172502

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JEAN

Last Name

LIST

Business Name

DONNA JEAN LIST

Original Issue Date

11/14/2006

Effective Date

11/14/2006

Expiration Date

03/31/2007

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007