MANTEQUILLA DENISE PETTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126935

License Status

NOT RENEWED

Business

First Name

MANTEQUILLA

Middle

DENISE

Last Name

PETTIS

Business Name

MANTEQUILLA DENISE PETTIS

Original Issue Date

08/10/1999

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/25/2025

Case Number

2008007314

Action

Suspension

Discipline Start Date

08/05/2009

Discipline Reason

after diverted substantial quantities of controlled substances for sale to another individual.