DUSTIN L DEAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195836

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

DEAN

Prefix

Business Name

DUSTIN L DEAN

Original Issue Date

12/11/2009

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011