JANE E SOUTHERLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085346

License Status

NOT RENEWED

Business

First Name

JANE E

Last Name

SOUTHERLAN

Business Name

JANE E SOUTHERLAN

Original Issue Date

10/02/1987

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

05/02/2008