TERRIE ML DUBOIS DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210515

License Status

NOT RENEWED

Business

First Name

TERRIE

Middle

Last Name

DUBOIS DOUGLAS

Prefix

Business Name

TERRIE ML DUBOIS DOUGLAS

Original Issue Date

04/23/2012

Effective Date

04/23/2012

Expiration Date

03/31/2013

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013