MODENA EDWARDS - Pharmacist License in Illinois | # 049066578

MODENA EDWARDS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066578

License Status

NOT RENEWED

Business

N

First Name

MODENA

Last Name

EDWARDS

Business Name

MODENA EDWARDS

Original Issue Date

12/24/1976

Effective Date

12/24/1976

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005