MARY M DODGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027451

License Status

INACTIVE

Business

First Name

MARY M

Last Name

DODGE

Business Name

MARY M DODGE

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005