AMY M BELKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168830

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BELKEN

Business Name

AMY M BELKEN

Original Issue Date

05/22/2006

Effective Date

05/22/2006

Expiration Date

03/31/2007

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

05/14/2007