MARY L HILLESTAD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026132

License Status

INACTIVE

Business

First Name

MARY L

Last Name

HILLESTAD

Business Name

MARY L HILLESTAD

Original Issue Date

01/01/1997

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

01/04/2020