ELLYN C VIRDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195698

License Status

NOT RENEWED

Business

First Name

ELLYN

Middle

Last Name

VIRDEN

Business Name

ELLYN C VIRDEN

Original Issue Date

12/04/2009

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/12/2011