ANITA M POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079568

License Status

NOT RENEWED

Business

First Name

ANITA M

Last Name

POWELL

Business Name

ANITA M POWELL

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005