CORINE BETTENCOURT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158318

License Status

NOT RENEWED

Business

First Name

CORINE

Last Name

BETTENCOURT

Business Name

CORINE BETTENCOURT

Original Issue Date

12/14/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61125

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009