JENNIFER L FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072560

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

FIELDS

Business Name

JENNIFER L FIELDS

Original Issue Date

02/25/1980

Effective Date

02/25/1980

Expiration Date

03/31/1986

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005