TAYLOR M DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215466

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

DODGE

Prefix

Business Name

TAYLOR M DODGE

Original Issue Date

01/13/2013

Effective Date

03/26/2014

Expiration Date

03/31/2015

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/11/2015