BETTY A PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086247

License Status

NOT RENEWED

Business

First Name

BETTY A

Last Name

PARK

Business Name

BETTY A PARK

Original Issue Date

03/26/1988

Effective Date

03/26/1988

Expiration Date

03/31/1989

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005