GLORIA JEAN PETITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179966

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

JEAN

Last Name

PETITT

Business Name

GLORIA JEAN PETITT

Original Issue Date

10/16/2007

Effective Date

10/16/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2018