EDNA MICHELLE PADEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124679

License Status

NOT RENEWED

Business

First Name

EDNA

Middle

MICHELLE

Last Name

PADEN

Business Name

EDNA MICHELLE PADEN

Original Issue Date

02/11/1999

Effective Date

02/11/1999

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005