JODY LYN STORM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078212

License Status

NOT RENEWED

Business

First Name

JODY LYN

Last Name

STORM

Business Name

JODY LYN STORM

Original Issue Date

04/21/1983

Effective Date

04/21/1983

Expiration Date

03/31/1984

City

GARDNER

State

Zip

60424

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/17/2005