DEBRA ANN PETITAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094834

License Status

NOT RENEWED

Business

First Name

DEBRA ANN

Last Name

PETITAN

Business Name

DEBRA ANN PETITAN

Original Issue Date

10/19/1990

Effective Date

10/19/1990

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005