PATRICIA PAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057666

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

PAGE

Business Name

PATRICIA PAGE

Original Issue Date

05/02/1972

Effective Date

05/02/1972

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005