TAYLOR M DODGE - Pharmacist License in Illinois | # 049215466

TAYLOR M DODGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215466

License Status

NOT RENEWED

Business

N

First Name

TAYLOR

Middle

M

Last Name

DODGE

Prefix

MR

Business Name

TAYLOR M DODGE

Original Issue Date

01/13/2013

Effective Date

03/26/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015