MARY L FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113077

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

FUNK

Business Name

MARY L FUNK

Original Issue Date

01/24/1996

Effective Date

01/24/1996

Expiration Date

03/31/1998

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005