JERRI J MOALLANKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104347

License Status

NOT RENEWED

Business

First Name

JERRI J

Last Name

MOALLANKAMP

Business Name

JERRI J MOALLANKAMP

Original Issue Date

08/24/1993

Effective Date

08/24/1993

Expiration Date

03/31/1999

City

MOUND CITY

State

Zip

62963

County

PULASKI

Ever Disciplined

LastModifiedDate

10/17/2005