CONNIE J SEYBOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068471

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

SEYBOLD

Business Name

CONNIE J SEYBOLD

Original Issue Date

11/18/1977

Effective Date

11/18/1977

Expiration Date

01/01/1997

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005