SR M LA VERNE DONAHUE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024927

License Status

INACTIVE

Business

First Name

SR M LA VERNE

Last Name

DONAHUE

Business Name

SR M LA VERNE DONAHUE

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005