ROBERT E NOVOTNY Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058430

License Status

CANCELLED

Business

First Name

ROBERT E

Last Name

NOVOTNY

Business Name

ROBERT E NOVOTNY

Original Issue Date

09/23/1972

Effective Date

09/23/1972

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005