TODD E PENROD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106005

License Status

NOT RENEWED

Business

First Name

TODD E

Last Name

PENROD

Business Name

TODD E PENROD

Original Issue Date

02/17/1994

Effective Date

02/17/1994

Expiration Date

03/31/1997

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1995003940

Action

Probation

Discipline Start Date

11/12/1996

Discipline End Date

11/11/1999

Discipline Reason

Convicted of unlawful delivery of controlled substances diverted from his employing pharmacy.