PATRICIA M ENNIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127915

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

ENNIS

Business Name

PATRICIA M ENNIS

Original Issue Date

10/18/1999

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2009