BECKY L MADSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144400

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

Last Name

MADSEN

Business Name

BECKY L MADSEN

Original Issue Date

08/30/2002

Effective Date

08/30/2002

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61103

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005