MAGDALENE MAE DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245262

License Status

NOT RENEWED

Business

First Name

MAGDALENE

Middle

MAE

Last Name

DOUGLAS

Business Name

MAGDALENE MAE DOUGLAS

Original Issue Date

10/07/2016

Effective Date

01/29/2018

Expiration Date

03/31/2019

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019