MARK J PETTINGER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040775

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

PETTINGER

Business Name

MARK J PETTINGER

Original Issue Date

04/16/1996

Effective Date

03/25/2014

Expiration Date

03/31/2016

City

APPLETON

State

Zip

54913

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/28/2016