ANNETTE KAE MORTLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117627

License Status

NOT RENEWED

Business

First Name

ANNETTE

Middle

KAE

Last Name

MORTLAND

Business Name

ANNETTE KAE MORTLAND

Original Issue Date

05/19/1997

Effective Date

05/19/1997

Expiration Date

03/31/2006

City

WINDSOR

State

Zip

61957

County

SHELBY

Ever Disciplined

LastModifiedDate

05/11/2006