PAIGE E DETHORNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227804

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

Last Name

DETHORNE

Prefix

Business Name

PAIGE E DETHORNE

Original Issue Date

09/14/2014

Effective Date

09/14/2014

Expiration Date

03/31/2015

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

05/11/2015