JACKIE N VERNIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095530

License Status

NOT RENEWED

Business

First Name

JACKIE N

Last Name

VERNIA

Business Name

JACKIE N VERNIA

Original Issue Date

01/22/1991

Effective Date

01/22/1991

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005