IVY B VIDENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165808

License Status

NOT RENEWED

Business

First Name

IVY

Middle

Last Name

VIDENA

Business Name

IVY B VIDENA

Original Issue Date

12/27/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009