W MARITA CLAEYS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067876

License Status

CANCELLED

Business

First Name

W MARITA

Last Name

CLAEYS

Business Name

W MARITA CLAEYS

Original Issue Date

08/05/1977

Effective Date

08/05/1977

Expiration Date

01/01/1997

City

TAYLOR SPRINGS

State

Zip

62089

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/17/2005