DALE W TYSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019901

License Status

NOT RENEWED

Business

First Name

DALE W

Last Name

TYSON

Business Name

DALE W TYSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

APPLE RIVER

State

Zip

61001

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/17/2005