BETH A BRENTZEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095589

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

BRENTZEL

Business Name

BETH A BRENTZEL

Original Issue Date

01/18/1991

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/12/2010