MARY ALYCE PERREAULT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122806

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALYCE

Last Name

PERREAULT

Business Name

MARY ALYCE PERREAULT

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

03/31/2001

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005