MARY LOU SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023255

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

SHORT

Business Name

MARY LOU SHORT

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/02/2008