PRINCE JUDE EHIZIELEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206716

License Status

NOT RENEWED

Business

First Name

PRINCE JUDE

Last Name

EHIZIELEN

Business Name

PRINCE JUDE EHIZIELEN

Original Issue Date

09/16/2011

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

FORT WORTH

State

Zip

76123

Ever Disciplined

LastModifiedDate

05/10/2017