MARY JO SOUTHWICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061978

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

SOUTHWICK

Business Name

MARY JO SOUTHWICK

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

01/01/1997

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005