DOUGLAS ERIC DENNIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033269

License Status

INACTIVE

Business

First Name

DOUGLAS ERIC

Last Name

DENNIS

Business Name

DOUGLAS ERIC DENNIS

Original Issue Date

08/05/1980

Effective Date

08/05/1980

Expiration Date

03/31/1988

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005