DESIRAE MARIE PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205602

License Status

NOT RENEWED

Business

First Name

DESIRAE

Middle

MARIE

Last Name

PATRICK

Business Name

DESIRAE MARIE PATRICK

Original Issue Date

07/26/2011

Effective Date

07/26/2011

Expiration Date

03/31/2012

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

05/07/2012