TERESA LUISA ROSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128890

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

LUISA

Last Name

ROSA

Business Name

TERESA LUISA ROSA

Original Issue Date

01/10/2000

Effective Date

01/10/2000

Expiration Date

03/31/2001

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/21/2005