MARY A GOTTWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085698

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

GOTTWALT

Business Name

MARY A GOTTWALT

Original Issue Date

11/20/1987

Effective Date

02/16/2016

Expiration Date

03/31/2017

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2017