NOVELLA GARDNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290321

License Status

ACTIVE

Business

First Name

NOVELLA

Last Name

GARDNER

Business Name

NOVELLA GARDNER

Original Issue Date

12/20/2004

Effective Date

04/09/2024

Expiration Date

03/31/2026

City

PORTLAND

State

Zip

37148

Ever Disciplined

LastModifiedDate

01/30/2026