PENNY S STURDIVANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100723

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

Last Name

STURDIVANT

Business Name

PENNY S STURDIVANT

Original Issue Date

07/15/1992

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010