PENNY LANE RIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158034

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

LANE

Last Name

RIDER

Business Name

PENNY LANE RIDER

Original Issue Date

11/30/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/02/2008