THOMAS ALLEN DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051285984

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ALLEN

Last Name

DODGE

Business Name

THOMAS ALLEN DODGE

Original Issue Date

07/03/1997

Effective Date

07/03/1997

Expiration Date

03/31/2000

City

HOPE VALLEY

State

Zip

02832

Ever Disciplined

LastModifiedDate

12/06/2005