ANDREA R PENNINGTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164538

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

PENNINGTON

Business Name

ANDREA R PENNINGTON

Original Issue Date

10/03/2005

Effective Date

10/21/2005

Expiration Date

03/31/2006

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006