WILLAMAE A BERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086645

License Status

NOT RENEWED

Business

First Name

WILLAMAE A

Last Name

BERT

Business Name

WILLAMAE A BERT

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

03/31/2000

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005