ALYSSIA DENA COUNTRYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247150

License Status

NOT RENEWED

Business

First Name

ALYSSIA

Middle

DENA

Last Name

COUNTRYMAN

Business Name

ALYSSIA DENA COUNTRYMAN

Original Issue Date

12/15/2016

Effective Date

06/27/2017

Expiration Date

03/31/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

06/19/2018