DESIRAY C MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261259

License Status

NOT RENEWED

Business

First Name

DESIRAY

Middle

Last Name

MASON

Business Name

DESIRAY C MASON

Original Issue Date

11/05/2018

Effective Date

11/05/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019