LAUREL ELAINE BIETSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120495

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

ELAINE

Last Name

BIETSCH

Business Name

LAUREL ELAINE BIETSCH

Original Issue Date

04/04/1998

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015