TOM W STITES Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054340

License Status

CANCELLED

Business

First Name

TOM W

Last Name

STITES

Business Name

TOM W STITES

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005