SALLY PETRICK WHITE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030287

License Status

INACTIVE

Business

First Name

SALLY PETRICK

Last Name

WHITE

Business Name

SALLY PETRICK WHITE

Original Issue Date

12/16/1974

Effective Date

02/10/2016

Expiration Date

03/31/2018

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/12/2018