MICHAEL RUSSELL DORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286544

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

RUSSELL

Last Name

DORMAN

Business Name

MICHAEL RUSSELL DORMAN

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

03/31/2002

City

BATON ROUGE

State

Zip

70810

County

LOUISIANA

Ever Disciplined

LastModifiedDate

12/06/2005