ALTA M MAYES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103435

License Status

NOT RENEWED

Business

First Name

ALTA M

Last Name

MAYES

Business Name

ALTA M MAYES

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

03/31/1994

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005