MARY JANE PATTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072172

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

PATTILLO

Business Name

MARY JANE PATTILLO

Original Issue Date

11/21/1979

Effective Date

11/21/1979

Expiration Date

03/31/1989

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005