BETTY A WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146240

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

Last Name

WHITE

Business Name

BETTY A WHITE

Original Issue Date

12/05/2002

Effective Date

12/05/2002

Expiration Date

03/31/2004

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005