ASHLEY NICOLE LAYENDECKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154923

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

LAYENDECKER

Business Name

ASHLEY NICOLE LAYENDECKER

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006