EDWINA C RAE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174148

License Status

NOT RENEWED

Business

First Name

EDWINA

Middle

Last Name

RAE

Business Name

EDWINA C RAE

Original Issue Date

02/06/2007

Effective Date

02/06/2007

Expiration Date

03/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008