BETHANY ANN PETRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135577

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

ANN

Last Name

PETRY

Business Name

BETHANY ANN PETRY

Original Issue Date

04/03/2001

Effective Date

04/03/2001

Expiration Date

03/31/2005

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005