MADISON C DUSENBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202653

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

DUSENBERRY

Prefix

Business Name

MADISON C DUSENBERRY

Original Issue Date

02/08/2011

Effective Date

01/17/2012

Expiration Date

03/31/2013

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/06/2013