SR M DONATA UPHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024357

License Status

NOT RENEWED

Business

First Name

SR M DONATA

Last Name

UPHOFF

Business Name

SR M DONATA UPHOFF

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008