DALTON M IRWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193976

License Status

NOT RENEWED

Business

First Name

DALTON

Middle

Last Name

IRWIN

Business Name

DALTON M IRWIN

Original Issue Date

09/01/2009

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/12/2011