ELAINE RENE BERNOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060863

License Status

NOT RENEWED

Business

First Name

ELAINE RENE

Last Name

BERNOVICH

Business Name

ELAINE RENE BERNOVICH

Original Issue Date

01/28/1974

Effective Date

01/28/1974

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005