DE WAYNE M BILLUE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039616

License Status

INACTIVE

Business

First Name

DE WAYNE M

Last Name

BILLUE

Business Name

DE WAYNE M BILLUE

Original Issue Date

11/29/1993

Effective Date

11/29/1993

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

65810

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/06/2005