MARTHA RAE DUNHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049290452

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

RAE

Last Name

DUNHAM

Business Name

MARTHA RAE DUNHAM

Original Issue Date

02/12/2022

Effective Date

02/12/2022

Expiration Date

03/31/2023

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023