CHARLOTTE K DE BUYSERE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157187

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Middle

Last Name

DE BUYSERE

Business Name

CHARLOTTE K DE BUYSERE

Original Issue Date

09/15/2004

Effective Date

03/17/2021

Expiration Date

05/31/2022

City

HILLSDALE

State

Zip

61257

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/27/2022