MARY LONTEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119210

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

LONTEEN

Business Name

MARY LONTEEN

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005