BETTY LOU SIEFERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125317

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

LOU

Last Name

SIEFERT

Business Name

BETTY LOU SIEFERT

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

03/31/2003

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005