GLORIA FAYE FELDEWERTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062454

License Status

NOT RENEWED

Business

First Name

GLORIA FAYE

Last Name

FELDEWERTH

Business Name

GLORIA FAYE FELDEWERTH

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

01/01/1997

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005