DEBRA JUNE POLK-MAUTERER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145876

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

JUNE

Last Name

POLK-MAUTERER

Business Name

DEBRA JUNE POLK-MAUTERER

Original Issue Date

11/15/2002

Effective Date

11/15/2002

Expiration Date

03/31/2006

City

OKLAHOMA CITY

State

Zip

73162

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

05/11/2006