TODD M EITENMILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193786

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

EITENMILLER

Business Name

TODD M EITENMILLER

Original Issue Date

08/21/2009

Effective Date

08/21/2009

Expiration Date

03/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010