MARY ANNA URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142707

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANNA

Last Name

URBAN

Business Name

MARY ANNA URBAN

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

ST ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005