ALICIA AMELIA GUETZLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179670

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

AMELIA

Last Name

GUETZLOFF

Business Name

ALICIA AMELIA GUETZLOFF

Original Issue Date

10/02/2007

Effective Date

03/12/2012

Expiration Date

03/31/2013

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013