ANGELA MARIE BRETZLAFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155303

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

BRETZLAFF

Business Name

ANGELA MARIE BRETZLAFF

Original Issue Date

06/17/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/02/2008