REBECCA ANNE BRTVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143538

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANNE

Last Name

BRTVA

Business Name

REBECCA ANNE BRTVA

Original Issue Date

07/05/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007