DENISE JANE WILLENBORG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134313

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

JANE

Last Name

WILLENBORG

Business Name

DENISE JANE WILLENBORG

Original Issue Date

01/05/2001

Effective Date

01/05/2001

Expiration Date

03/31/2002

City

VANDALIA

State

Zip

62471

County

CLINTON

Ever Disciplined

LastModifiedDate

12/06/2005