REBECCA A FIELDS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175657

License Status

INACTIVE

Business

First Name

REBECCA

Middle

Last Name

FIELDS

Business Name

REBECCA A FIELDS

Original Issue Date

04/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/06/2009