MICHELLE D PETTET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106649

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

PETTET

Business Name

MICHELLE D PETTET

Original Issue Date

04/20/1994

Effective Date

04/20/1994

Expiration Date

03/31/2001

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005