ANGELICA A DISTERHOFT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290198

License Status

ACTIVE

Business

First Name

ANGELICA

Middle

Last Name

DISTERHOFT

Business Name

ANGELICA A DISTERHOFT

Original Issue Date

09/22/2004

Effective Date

03/24/2024

Expiration Date

03/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

01/30/2026