AUDRA M ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153748

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

Last Name

ALLEN

Business Name

AUDRA M ALLEN

Original Issue Date

03/17/2004

Effective Date

03/17/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005