BELEN C LAPUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207781

License Status

NOT RENEWED

Business

First Name

BELEN

Middle

Last Name

LAPUZ

Prefix

Business Name

BELEN C LAPUZ

Original Issue Date

11/14/2011

Effective Date

11/14/2011

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012