PATRICK THOMAS POTTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026592

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

THOMAS

Last Name

POTTER

Business Name

PATRICK THOMAS POTTER

Original Issue Date

01/01/1997

Effective Date

01/21/2020

Expiration Date

07/31/2022

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

10/14/2022