BOB P POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104415

License Status

NOT RENEWED

Business

First Name

BOB P

Last Name

POWELL

Business Name

BOB P POWELL

Original Issue Date

09/01/1993

Effective Date

09/01/1993

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005