ANGELA ANN RETZLAFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145984

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

ANN

Last Name

RETZLAFF

Business Name

ANGELA ANN RETZLAFF

Original Issue Date

11/20/2002

Effective Date

11/20/2002

Expiration Date

03/31/2003

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005