MARY E WITTENSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096438

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

WITTENSTROM

Business Name

MARY E WITTENSTROM

Original Issue Date

04/09/1991

Effective Date

03/23/2012

Expiration Date

03/31/2013

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013