VIVIAN A RODDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151945

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

Last Name

RODDEN

Business Name

VIVIAN A RODDEN

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005