BONITA JEAN CZECH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147559

License Status

INACTIVE

Business

First Name

BONITA

Middle

JEAN

Last Name

CZECH

Business Name

BONITA JEAN CZECH

Original Issue Date

03/21/2003

Effective Date

02/23/2011

Expiration Date

03/31/2012

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/12/2012