BARBARA HELEN MALTZAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153560

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

HELEN

Last Name

MALTZAHN

Business Name

BARBARA HELEN MALTZAHN

Original Issue Date

03/11/2004

Effective Date

10/09/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014