BEVERLY M ROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179879

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

ROUSE

Business Name

BEVERLY M ROUSE

Original Issue Date

10/11/2007

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/04/2010