CONSUELO M BOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204772

License Status

NOT RENEWED

Business

First Name

CONSUELO

Middle

Last Name

BOX

Prefix

Business Name

CONSUELO M BOX

Original Issue Date

06/13/2011

Effective Date

06/13/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012