DEDRA A CLASSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288477

License Status

INACTIVE

Business

First Name

DEDRA

Middle

Last Name

CLASSEN

Business Name

DEDRA A CLASSEN

Original Issue Date

09/05/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

NORMAN

State

Zip

73072

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

01/18/2006