PAYTON ANN BRIDEGROOM - Pharmacist License in Illinois | # 049281526

PAYTON ANN BRIDEGROOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281526

License Status

NOT RENEWED

Business

N

First Name

PAYTON

Middle

ANN

Last Name

BRIDEGROOM

Business Name

PAYTON ANN BRIDEGROOM

Original Issue Date

04/13/2021

Effective Date

04/13/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022