THEO RICHARD VIDITO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172903

License Status

NOT RENEWED

Business

First Name

THEO

Middle

RICHARD

Last Name

VIDITO

Business Name

THEO RICHARD VIDITO

Original Issue Date

11/30/2006

Effective Date

11/30/2006

Expiration Date

03/31/2007

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007