JACKIE D MAINE - Pharmacist License in Louisiana | # 049085899

JACKIE D MAINE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085899

License Status

NOT RENEWED

Business

N

First Name

JACKIE D

Last Name

MAINE

Business Name

JACKIE D MAINE

Original Issue Date

01/20/1988

Effective Date

01/20/1988

Expiration Date

03/31/1997

State

LA

Ever Disciplined

N

LastModifiedDate

10/17/2005