GABRIEL LEE PETTIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156790

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

LEE

Last Name

PETTIT

Business Name

GABRIEL LEE PETTIT

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

03/31/2005

City

BURNSIDE

State

Zip

62330

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/20/2005