MARY A DEPAUW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111044

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

DEPAUW

Business Name

MARY A DEPAUW

Original Issue Date

07/06/1995

Effective Date

07/06/1995

Expiration Date

03/31/1997

City

MOLINE

State

Zip

61265

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005