NATASHA STORTZUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166317

License Status

NOT RENEWED

Business

First Name

NATASHA

Last Name

STORTZUM

Business Name

NATASHA STORTZUM

Original Issue Date

01/26/2006

Effective Date

03/29/2010

Expiration Date

03/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/12/2011