DAVID A ENGELBARTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190403

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ENGELBARTS

Business Name

DAVID A ENGELBARTS

Original Issue Date

03/23/2009

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

FORRESTON

State

Zip

61030

County

OGLE

Ever Disciplined

LastModifiedDate

05/04/2010