DENNIS R EAGLESON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196065

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

EAGLESON

Business Name

DENNIS R EAGLESON

Original Issue Date

01/05/2010

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/07/2012