AMBER L BELONGIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245657

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

BELONGIA

Prefix

Business Name

AMBER L BELONGIA

Original Issue Date

10/23/2016

Effective Date

10/23/2016

Expiration Date

03/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017