CASEY JO WILLENBORG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261537

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

WILLENBORG

Business Name

CASEY JO WILLENBORG

Original Issue Date

11/28/2018

Effective Date

03/20/2019

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021