AVIANCE G ODEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245441

License Status

NOT RENEWED

Business

First Name

AVIANCE

Middle

Last Name

ODEN

Prefix

Business Name

AVIANCE G ODEN

Original Issue Date

10/17/2016

Effective Date

10/17/2016

Expiration Date

03/31/2017

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

05/10/2017