TENILLE M ODERWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108057

License Status

NOT RENEWED

Business

First Name

TENILLE

Middle

Last Name

ODERWALD

Business Name

TENILLE M ODERWALD

Original Issue Date

09/07/1994

Effective Date

09/07/1994

Expiration Date

03/31/1998

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

10/17/2005