ETHAN JUDE VILLODRES MIRANDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292462

License Status

NOT RENEWED

Business

First Name

ETHAN JUDE

Middle

VILLODRES

Last Name

MIRANDA

Business Name

ETHAN JUDE VILLODRES MIRANDA

Original Issue Date

05/06/2022

Effective Date

05/06/2022

Expiration Date

03/31/2023

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/07/2023