ALYSSIA DENA COUNTRYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183651

License Status

NOT RENEWED

Business

First Name

ALYSSIA

Middle

DENA

Last Name

COUNTRYMAN

Business Name

ALYSSIA DENA COUNTRYMAN

Original Issue Date

04/16/2008

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

12/22/2016