JESSICA J VAN FOSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173557

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

VAN FOSSEN

Business Name

JESSICA J VAN FOSSEN

Original Issue Date

01/11/2007

Effective Date

12/23/2022

Expiration Date

03/31/2023

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

09/07/2023