BARBARA MODLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064736

License Status

NOT RENEWED

Business

First Name

BARBARA

Last Name

MODLIN

Business Name

BARBARA MODLIN

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005