BETTINA MODROW - Pharmacist License in Illinois | # 049070284

BETTINA MODROW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070284

License Status

NOT RENEWED

Business

N

First Name

BETTINA

Last Name

MODROW

Business Name

BETTINA MODROW

Original Issue Date

10/27/1978

Effective Date

10/27/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005