MARY D SLADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187896

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SLADE

Business Name

MARY D SLADE

Original Issue Date

10/22/2008

Effective Date

04/01/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012