MARY EDNA PETTYJOHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079278

License Status

NOT RENEWED

Business

First Name

MARY EDNA

Last Name

PETTYJOHN

Business Name

MARY EDNA PETTYJOHN

Original Issue Date

12/02/1983

Effective Date

12/02/1983

Expiration Date

03/31/1986

City

BROKEN ARROW

State

Zip

77014

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/17/2005