BERTHA M CROMWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098814

License Status

NOT RENEWED

Business

First Name

BERTHA M

Last Name

CROMWELL

Business Name

BERTHA M CROMWELL

Original Issue Date

12/03/1991

Effective Date

12/03/1991

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005