BOBBY D RIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149420

License Status

NOT RENEWED

Business

First Name

BOBBY

Middle

Last Name

RIDER

Business Name

BOBBY D RIDER

Original Issue Date

07/02/2003

Effective Date

07/02/2003

Expiration Date

03/31/2004

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005