MICHELLE R PETTIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105247

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

PETTIT

Business Name

MICHELLE R PETTIT

Original Issue Date

11/17/1993

Effective Date

11/17/1993

Expiration Date

03/31/2001

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005