CHERYL RENEA VAN PELT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133625

License Status

NOT RENEWED

Business

First Name

CHERYL

Middle

RENEA

Last Name

VAN PELT

Business Name

CHERYL RENEA VAN PELT

Original Issue Date

11/16/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008