JUDY PAULINE SIMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153580

License Status

NOT RENEWED

Business

First Name

JUDY

Middle

PAULINE

Last Name

SIMMONS

Business Name

JUDY PAULINE SIMMONS

Original Issue Date

03/11/2004

Effective Date

04/01/2011

Expiration Date

03/31/2012

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/07/2012