BRIDGET LYNN SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120520

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

LYNN

Last Name

SPARKS

Business Name

BRIDGET LYNN SPARKS

Original Issue Date

04/07/1998

Effective Date

04/07/1998

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005