MARITZA KATRINA HATHWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070733

License Status

NOT RENEWED

Business

First Name

MARITZA KATRINA

Last Name

HATHWAY

Business Name

MARITZA KATRINA HATHWAY

Original Issue Date

02/23/1979

Effective Date

02/23/1979

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005