ALLEN R RIDGWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109039

License Status

NOT RENEWED

Business

First Name

ALLEN R

Last Name

RIDGWAY

Business Name

ALLEN R RIDGWAY

Original Issue Date

12/12/1994

Effective Date

12/12/1994

Expiration Date

03/31/2001

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005