ALISA R RIDGEWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097725

License Status

NOT RENEWED

Business

First Name

ALISA R

Last Name

RIDGEWAY

Business Name

ALISA R RIDGEWAY

Original Issue Date

08/09/1991

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

DECATUR.

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010