PATRICIA HENRIET PETTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060782

License Status

NOT RENEWED

Business

First Name

PATRICIA HENRIET

Last Name

PETTIS

Business Name

PATRICIA HENRIET PETTIS

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005