AUDREY ANN POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179177

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

ANN

Last Name

POWELL

Business Name

AUDREY ANN POWELL

Original Issue Date

09/12/2007

Effective Date

02/05/2015

Expiration Date

03/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016