MARY LOUISE SELPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151851

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LOUISE

Last Name

SELPH

Business Name

MARY LOUISE SELPH

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

03/31/2004

City

ST DAVID

State

Zip

61563

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005