GREGORY S MERTENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155746

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MERTENS

Business Name

GREGORY S MERTENS

Original Issue Date

06/24/2004

Effective Date

02/17/2010

Expiration Date

03/31/2011

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011