HOLLY A DEPATIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217703

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

DEPATIE

Prefix

Business Name

HOLLY A DEPATIE

Original Issue Date

05/02/2013

Effective Date

05/02/2013

Expiration Date

03/31/2014

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/06/2014