DE ETTA SIMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068399

License Status

NOT RENEWED

Business

First Name

DE ETTA

Last Name

SIMONS

Business Name

DE ETTA SIMONS

Original Issue Date

11/04/1977

Effective Date

11/04/1977

Expiration Date

03/31/1982

City

GAGES LAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005