BETHANY F BURT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201342

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

BURT

Prefix

Business Name

BETHANY F BURT

Original Issue Date

10/31/2010

Effective Date

10/31/2010

Expiration Date

03/31/2011

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

05/12/2011