EDWRAD C MUDGETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197586

License Status

NOT RENEWED

Business

First Name

EDWRAD

Middle

Last Name

MUDGETTE

Prefix

Business Name

EDWRAD C MUDGETTE

Original Issue Date

03/31/2010

Effective Date

03/30/2011

Expiration Date

03/31/2012

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/07/2012