MARY ANN ALTINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119744

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

ALTINE

Business Name

MARY ANN ALTINE

Original Issue Date

01/06/1998

Effective Date

01/15/2013

Expiration Date

03/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014