MARY DEHERRERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073266

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

DEHERRERA

Business Name

MARY DEHERRERA

Original Issue Date

07/15/1980

Effective Date

07/15/1980

Expiration Date

01/01/1997

City

URBANA

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005