LORETTA MAE TROUTWINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174873

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

MAE

Last Name

TROUTWINE

Business Name

LORETTA MAE TROUTWINE

Original Issue Date

03/15/2007

Effective Date

03/15/2007

Expiration Date

03/31/2008

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/02/2008