MARY T HUMPHREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202511

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

HUMPHREY

Prefix

Business Name

MARY T HUMPHREY

Original Issue Date

01/26/2011

Effective Date

01/26/2011

Expiration Date

03/31/2012

City

WHITING

State

Zip

46394

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012