Mantequilla Denise Pettis
SuspendedIllinois license 049126935
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049126935
- Status
- Suspended
- First issued
- August 10, 1999
- Expired
- March 31, 2009
- License holder
- Mantequilla Denise Pettis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/10/2008
- Ever disciplined
- Yes
- Discipline case
- 2008007314
- Discipline action
- Suspension
- Discipline reason
- After Diverted Substantial Quantities of Controlled Substances for Sale to Another Individual.
- Discipline dates
- 08/05/2009
Other Illinois licenses under this name
-
IL
ExpiredUrbana, ILExpired Sep 30, 2003
-
IL
ExpiredUrbana, ILExpired Sep 30, 2010
Contact
Urbana, IL 61802
Champaign County