JENNIE ANNE VIDALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174271

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

ANNE

Last Name

VIDALES

Business Name

JENNIE ANNE VIDALES

Original Issue Date

02/14/2007

Effective Date

03/01/2016

Expiration Date

03/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/10/2017