CAPITOLA ANN ALTIZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158028

License Status

NOT RENEWED

Business

First Name

CAPITOLA

Middle

ANN

Last Name

ALTIZER

Business Name

CAPITOLA ANN ALTIZER

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

03/31/2005

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/20/2005