THOMAS W PETTICREW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187917

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

PETTICREW

Business Name

THOMAS W PETTICREW

Original Issue Date

10/23/2008

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011