JACQUELYN ANN IVANKOVICH - Pharmacist License in Indiana | # 049171062

JACQUELYN ANN IVANKOVICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171062

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Middle

ANN

Last Name

IVANKOVICH

Business Name

JACQUELYN ANN IVANKOVICH

Original Issue Date

09/05/2006

Effective Date

09/05/2006

Expiration Date

03/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

05/14/2007