MARIE SOUTHWORTH PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071909

License Status

NOT RENEWED

Business

First Name

MARIE SOUTHWORTH

Last Name

PAYNE

Business Name

MARIE SOUTHWORTH PAYNE

Original Issue Date

09/21/1979

Effective Date

09/21/1979

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005