MARY KAY TILLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142041

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KAY

Last Name

TILLMAN

Business Name

MARY KAY TILLMAN

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

03/31/2004

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/20/2005