JACQUELYN M CLEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065176

License Status

NOT RENEWED

Business

First Name

JACQUELYN M

Last Name

CLEM

Business Name

JACQUELYN M CLEM

Original Issue Date

04/16/1976

Effective Date

04/16/1976

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005