IAN VIDAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285465

License Status

NOT RENEWED

Business

First Name

IAN

Last Name

VIDAL

Business Name

IAN VIDAL

Original Issue Date

09/15/2021

Effective Date

04/01/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023