MARY L CORNWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037536

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

CORNWELL

Business Name

MARY L CORNWELL

Original Issue Date

09/02/1989

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021