MOLLY R PETREA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133866

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

PETREA

Business Name

MOLLY R PETREA

Original Issue Date

12/04/2000

Effective Date

12/04/2000

Expiration Date

03/31/2003

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005