HELEN EILEEN PETIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170227

License Status

NOT RENEWED

Business

First Name

HELEN

Middle

EILEEN

Last Name

PETIT

Business Name

HELEN EILEEN PETIT

Original Issue Date

07/26/2006

Effective Date

07/26/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007