MEGAN E BONTJES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170360

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

BONTJES

Business Name

MEGAN E BONTJES

Original Issue Date

08/02/2006

Effective Date

08/02/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007