MARY LOU JACKLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063377

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

JACKLE

Business Name

MARY LOU JACKLE

Original Issue Date

05/02/1975

Effective Date

05/02/1975

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005