ELAINE M BLIEVERNICHT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092740

License Status

NOT RENEWED

Business

First Name

ELAINE M

Last Name

BLIEVERNICHT

Business Name

ELAINE M BLIEVERNICHT

Original Issue Date

04/04/1990

Effective Date

04/04/1990

Expiration Date

03/31/1994

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005