MARY C FERTALY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184056

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FERTALY

Prefix

Business Name

MARY C FERTALY

Original Issue Date

05/03/2008

Effective Date

05/03/2008

Expiration Date

03/31/2009

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2009