MARYBETH POTTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075663

License Status

NOT RENEWED

Business

First Name

MARYBETH

Last Name

POTTS

Business Name

MARYBETH POTTS

Original Issue Date

11/20/1981

Effective Date

03/25/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016