MODENA EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066578

License Status

NOT RENEWED

Business

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

City

THOMPSONVILLE

State

Zip

62890

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005