MARY BETH VALLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082390

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

VALLAS

Business Name

MARY BETH VALLAS

Original Issue Date

04/04/1986

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016