ANDREA M BONTJES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240949

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BONTJES

Prefix

Business Name

ANDREA M BONTJES

Original Issue Date

04/11/2016

Effective Date

04/11/2016

Expiration Date

03/31/2017

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

05/10/2017