PATRICIA ANN WILLENBORG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152924

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

ANN

Last Name

WILLENBORG

Business Name

PATRICIA ANN WILLENBORG

Original Issue Date

01/20/2004

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/06/2013