MARY JANE JENKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059317

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

JENKINS

Business Name

MARY JANE JENKINS

Original Issue Date

04/02/1973

Effective Date

04/02/1973

Expiration Date

01/01/1997

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005