PAUL LEROY MASTEN JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077261

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

LEROY

Last Name

MASTEN

Suffix

Business Name

PAUL LEROY MASTEN JR

Original Issue Date

10/31/1982

Effective Date

06/16/2008

Expiration Date

03/31/2009

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/06/2009