PRISCILLA A BUNDREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125754

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

Last Name

BUNDREN

Business Name

PRISCILLA A BUNDREN

Original Issue Date

05/06/1999

Effective Date

05/06/1999

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005