JESSIE E VLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056154

License Status

NOT RENEWED

Business

First Name

JESSIE E

Last Name

VLACK

Business Name

JESSIE E VLACK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005