BONNIE K REPHOLZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061580

License Status

NOT RENEWED

Business

First Name

BONNIE K

Last Name

REPHOLZ

Business Name

BONNIE K REPHOLZ

Original Issue Date

05/29/1974

Effective Date

05/29/1974

Expiration Date

03/31/1986

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005