CONNIE JEAN MITSDARFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058577

License Status

NOT RENEWED

Business

First Name

CONNIE JEAN

Last Name

MITSDARFER

Business Name

CONNIE JEAN MITSDARFER

Original Issue Date

10/21/1972

Effective Date

10/21/1972

Expiration Date

03/31/2001

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/21/2005