REBECCA LF POUILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209707

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

POUILLY

Prefix

Business Name

REBECCA LF POUILLY

Original Issue Date

03/14/2012

Effective Date

03/06/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015