BETHANY T BATALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136658

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

BATALLA

Business Name

BETHANY T BATALLA

Original Issue Date

06/12/2001

Effective Date

06/12/2001

Expiration Date

03/31/2003

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005