EMILY SUZANNE BALTZELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278378

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

SUZANNE

Last Name

BALTZELL

Business Name

EMILY SUZANNE BALTZELL

Original Issue Date

01/04/2021

Effective Date

01/04/2021

Expiration Date

05/31/2022

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

07/27/2022