ASHLEY M MIDDENDORF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213421

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

MIDDENDORF

Business Name

ASHLEY M MIDDENDORF

Original Issue Date

09/11/2012

Effective Date

09/11/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013