SELENA ROSE SCUDDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262392

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

ROSE

Last Name

SCUDDER

Business Name

SELENA ROSE SCUDDER

Original Issue Date

12/26/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021