MARY A CHILDRESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064569

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

CHILDRESS

Business Name

MARY A CHILDRESS

Original Issue Date

12/12/1975

Effective Date

12/12/1975

Expiration Date

03/31/1984

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005