AMBER MARIAN BREITZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103369

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MARIAN

Last Name

BREITZMAN

Business Name

AMBER MARIAN BREITZMAN

Original Issue Date

05/06/1993

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012