TEEARA N HERTZNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167119

License Status

NOT RENEWED

Business

First Name

TEEARA

Middle

Last Name

HERTZNER

Business Name

TEEARA N HERTZNER

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007