SHIRLEY ANN RIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118531

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

ANN

Last Name

RIDER

Business Name

SHIRLEY ANN RIDER

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

03/31/1998

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005