LYDIA DIANE FERRELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128038

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

DIANE

Last Name

FERRELL

Business Name

LYDIA DIANE FERRELL

Original Issue Date

10/27/1999

Effective Date

10/27/1999

Expiration Date

03/31/2001

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005