MARYANN H BREITBARTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148814

License Status

NOT RENEWED

Business

First Name

MARYANN

Middle

Last Name

BREITBARTH

Business Name

MARYANN H BREITBARTH

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2006

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/11/2006