EDWARD W PEGG IV MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182390

License Status

NOT RENEWED

Business

Title

First Name

EDWARD

Middle

Last Name

PEGG

Prefix

Suffix

Business Name

EDWARD W PEGG IV MD

Original Issue Date

02/26/2008

Effective Date

02/26/2008

Expiration Date

03/31/2009

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2009