BETTINA MODROW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070284

License Status

NOT RENEWED

Business

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

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005