IVY B VIDENA - Pharmacist License in Illinois | # 049165808

IVY B VIDENA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165808

License Status

NOT RENEWED

Business

N

First Name

IVY

Middle

B

Last Name

VIDENA

Business Name

IVY B VIDENA

Original Issue Date

12/27/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009