MILDRED NEELY HACKWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120099

License Status

NOT RENEWED

Business

First Name

MILDRED

Middle

NEELY

Last Name

HACKWORTH

Business Name

MILDRED NEELY HACKWORTH

Original Issue Date

02/20/1998

Effective Date

02/20/1998

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005