ETHAN L RIDENOUR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208170

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

Last Name

RIDENOUR

Prefix

Business Name

ETHAN L RIDENOUR

Original Issue Date

12/07/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

CARROLLTON

State

Zip

62016

Ever Disciplined

LastModifiedDate

05/06/2013