TONYA A BREITBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104547

License Status

NOT RENEWED

Business

First Name

TONYA A

Last Name

BREITBACH

Business Name

TONYA A BREITBACH

Original Issue Date

09/20/1993

Effective Date

09/20/1993

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005