JACQUELINE M PENNISTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055317

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

PENNISTON

Business Name

JACQUELINE M PENNISTON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005