ELISSA MARIE SPIELVOGEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140752

License Status

NOT RENEWED

Business

First Name

ELISSA

Middle

MARIE

Last Name

SPIELVOGEL

Business Name

ELISSA MARIE SPIELVOGEL

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005