SHIRLEY L PRUDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093044

License Status

NOT RENEWED

Business

First Name

SHIRLEY L

Last Name

PRUDEN

Business Name

SHIRLEY L PRUDEN

Original Issue Date

05/09/1990

Effective Date

03/14/2023

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025