ETHEL MARIE WOODFORK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131038

License Status

NOT RENEWED

Business

First Name

ETHEL

Middle

MARIE

Last Name

WOODFORK

Business Name

ETHEL MARIE WOODFORK

Original Issue Date

06/05/2000

Effective Date

06/05/2000

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61105

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005