JOHN WESLEY PETTICREW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028388

License Status

INACTIVE

Business

First Name

JOHN WESLEY

Last Name

PETTICREW

Business Name

JOHN WESLEY PETTICREW

Original Issue Date

01/01/1997

Effective Date

03/15/2012

Expiration Date

03/31/2014

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/09/2014