D EUGENE EAGLESON JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026824

License Status

INACTIVE

Business

First Name

D EUGENE

Last Name

EAGLESON JR

Business Name

D EUGENE EAGLESON JR

Original Issue Date

01/01/1997

Effective Date

03/02/2012

Expiration Date

03/31/2014

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/09/2014