MARY A SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292151

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SPARKS

Business Name

MARY A SPARKS

BusinessDBA

SPARKS

Original Issue Date

09/18/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010