DALTON JAMES MERTENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264240

License Status

NOT RENEWED

Business

First Name

DALTON

Middle

JAMES

Last Name

MERTENS

Business Name

DALTON JAMES MERTENS

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021