SAMUEL C PETTYJOHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175659

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

PETTYJOHN

Business Name

SAMUEL C PETTYJOHN

Original Issue Date

04/17/2007

Effective Date

04/17/2007

Expiration Date

03/31/2008

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008