TONYA ANN BRIM DAUTERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038614

License Status

NOT RENEWED

Business

First Name

TONYA ANN

Last Name

BRIM DAUTERMAN

Business Name

TONYA ANN BRIM DAUTERMAN

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

03/31/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005