DEIDRA NICOLE BELLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132562

License Status

NOT RENEWED

Business

First Name

DEIDRA

Middle

NICOLE

Last Name

BELLM

Business Name

DEIDRA NICOLE BELLM

Original Issue Date

09/08/2000

Effective Date

09/08/2000

Expiration Date

03/31/2001

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005