FORREST CHARLES MUEHLETHALER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065520

License Status

NOT RENEWED

Business

First Name

FORREST CHARLES

Last Name

MUEHLETHALER

Business Name

FORREST CHARLES MUEHLETHALER

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005