EDWARD A ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206024

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

ALLEN

Prefix

Business Name

EDWARD A ALLEN

Original Issue Date

08/15/2011

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/11/2015