DAWN ELAINE ENEVOLDSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247759

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ELAINE

Last Name

ENEVOLDSEN

Business Name

DAWN ELAINE ENEVOLDSEN

Original Issue Date

01/13/2017

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019