PATTY ANN MANIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140279

License Status

NOT RENEWED

Business

First Name

PATTY

Middle

ANN

Last Name

MANIS

Business Name

PATTY ANN MANIS

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2003

City

ELKVILLE

State

Zip

62932

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005