DWAYNE EDWIN THARP Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269579

License Status

ACTIVE

Business

First Name

DWAYNE

Middle

EDWIN

Last Name

THARP

Business Name

DWAYNE EDWIN THARP

Original Issue Date

11/26/2019

Effective Date

03/11/2025

Expiration Date

03/31/2026

City

WASHINGTON

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/30/2026