ETTALEA THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076032

License Status

NOT RENEWED

Business

First Name

ETTALEA

Last Name

THOMAS

Business Name

ETTALEA THOMAS

Original Issue Date

02/11/1982

Effective Date

02/11/1982

Expiration Date

03/31/2002

City

CHANDLERVILLE

State

Zip

62627

County

CASS

Ever Disciplined

LastModifiedDate

12/06/2005