AGNES K MASON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050171

License Status

NOT RENEWED

Business

First Name

AGNES K

Last Name

MASON

Business Name

AGNES K MASON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

WONDER LAKE

State

Zip

60097

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005