Pharmacist
PHARMACY TECHNICIAN
049083000
NOT RENEWED
N
JENNIFER MAURINE
MOHR
JENNIFER MAURINE MOHR
07/14/1986
07/14/1986
03/31/1987
SPRINGFIELD
IL
62702
SANGAMON
Y
10/17/2005
1987000299
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.