MAVIS D MACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072196

License Status

NOT RENEWED

Business

First Name

MAVIS D

Last Name

MACE

Business Name

MAVIS D MACE

Original Issue Date

11/28/1979

Effective Date

11/28/1979

Expiration Date

03/31/1986

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005