HOME ADDRESS: 525 Southfork Drive
CITY: Waukee
STATE: Iowa ZIP CODE: 50263
PHONE NO.: (515) 224-9420
E-MAIL ADDRESS: [email protected]
DATE PHARMACY DEGREE RECEIVED: May, 1980
PLACE OF EMPLOYMENT: West Des Moines Family Physicians
PLACE OF EMPLOYMENT PHONE NUMBER: (515) 224-9666
PLACE OF EMPLOYMENT FAX NUMBER: (515) 224-5913
PLACE OF EMPLOYMENT ADDRESS: 105 35th Street
CITY: West Des Moines
STATE: Iowa ZIP CODE: 50265
SPOUSE'S (SIGNIFICANT OTHER) NAME/OCCUPATION:
Susan / Dietician
CHILDREN NAMES: Brittania AGE: 11
PET NAMES:
HOBBIES:
WHAT HAS HAPPENED TO YOU SINCE GRADUATION?
**** Please email Jerry Shaw if any of this information ****
needs to be updated
Date information entered: 03-05-2004