BETTY ROSALIE RALPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134158

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

ROSALIE

Last Name

RALPH

Business Name

BETTY ROSALIE RALPH

Original Issue Date

12/20/2000

Effective Date

12/20/2000

Expiration Date

03/31/2002

City

LOAMI

State

Zip

62661

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005