MARY J NORDQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115844

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

NORDQUIST

Business Name

MARY J NORDQUIST

Original Issue Date

11/06/1996

Effective Date

11/06/1996

Expiration Date

03/31/2003

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005