MALENE E PETTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162764

License Status

NOT RENEWED

Business

First Name

MALENE

Middle

Last Name

PETTY

Business Name

MALENE E PETTY

Original Issue Date

08/05/2005

Effective Date

08/05/2005

Expiration Date

03/31/2006

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2006