MARY L NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067065

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

NELSON

Business Name

MARY L NELSON

Original Issue Date

04/08/1977

Effective Date

04/08/1977

Expiration Date

01/01/1997

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005