MICHAEL T PETTIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064800

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

PETTIT

Business Name

MICHAEL T PETTIT

Original Issue Date

01/30/1976

Effective Date

01/30/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005