REGINA A MARIETTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084860

License Status

NOT RENEWED

Business

First Name

REGINA A

Last Name

MARIETTA

Business Name

REGINA A MARIETTA

Original Issue Date

07/18/1987

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

06/19/2018