JOSHUA D PETHOUD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160697

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

PETHOUD

Business Name

JOSHUA D PETHOUD

Original Issue Date

04/29/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/14/2007