JENNIFER L PATCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063978

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

PATCH

Business Name

JENNIFER L PATCH

Original Issue Date

07/25/1975

Effective Date

07/25/1975

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005