ADDISON PAUL BERTRAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239797

License Status

NOT RENEWED

Business

First Name

ADDISON

Middle

PAUL

Last Name

BERTRAND

Business Name

ADDISON PAUL BERTRAND

Original Issue Date

02/29/2016

Effective Date

04/03/2018

Expiration Date

03/31/2019

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019