IDA MAI TEGEDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057740

License Status

NOT RENEWED

Business

First Name

IDA MAI

Last Name

TEGEDER

Business Name

IDA MAI TEGEDER

Original Issue Date

05/16/1972

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/02/2008