ELAND BLAKE SIDDLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153175

License Status

NOT RENEWED

Business

First Name

ELAND

Middle

BLAKE

Last Name

SIDDLE

Business Name

ELAND BLAKE SIDDLE

Original Issue Date

02/06/2004

Effective Date

01/16/2009

Expiration Date

03/31/2010

City

SAPPINGTON

State

Zip

63128

Ever Disciplined

LastModifiedDate

05/04/2010