JACQUELYN L FENTRESS - Pharmacist License in Indiana | # 049123153

JACQUELYN L FENTRESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123153

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Middle

L

Last Name

FENTRESS

Business Name

JACQUELYN L FENTRESS

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

03/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

12/06/2005