REBECCA L BASTRUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115754

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

BASTRUP

Business Name

REBECCA L BASTRUP

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

03/31/2005

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005