ELLEN LOUISE BESTERFELDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059424

License Status

NOT RENEWED

Business

First Name

ELLEN LOUISE

Last Name

BESTERFELDT

Business Name

ELLEN LOUISE BESTERFELDT

Original Issue Date

05/01/1973

Effective Date

05/01/1973

Expiration Date

01/01/1997

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005