MABELENE EVALYN VIRDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113948

License Status

NOT RENEWED

Business

First Name

MABELENE EVALYN

Last Name

VIRDEN

Business Name

MABELENE EVALYN VIRDEN

Original Issue Date

04/09/1996

Effective Date

04/09/1996

Expiration Date

03/31/2000

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005