BETTISUE BURMEISTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163912

License Status

NOT RENEWED

Business

First Name

BETTISUE

Last Name

BURMEISTER

Business Name

BETTISUE BURMEISTER

Original Issue Date

09/15/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009