LEE R YOUNGBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057817

License Status

NOT RENEWED

Business

First Name

LEE R

Last Name

YOUNGBERG

Business Name

LEE R YOUNGBERG

Original Issue Date

05/27/1972

Effective Date

05/27/1972

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005