GREGORY L MIDDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190206

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MIDDEN

Business Name

GREGORY L MIDDEN

Original Issue Date

03/11/2009

Effective Date

01/13/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2016