NANCY JOAN BACKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149018

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

JOAN

Last Name

BACKE

Business Name

NANCY JOAN BACKE

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

03/31/2005

City

APPLE RIVER

State

Zip

61001

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/20/2005