JACQUALINE S ATHEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101216

License Status

NOT RENEWED

Business

First Name

JACQUALINE S

Last Name

ATHEY

Business Name

JACQUALINE S ATHEY

Original Issue Date

09/11/1992

Effective Date

09/11/1992

Expiration Date

03/31/1994

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005