JAMIE LORENE FOGLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108661

License Status

NOT RENEWED

Business

First Name

JAMIE LORENE

Last Name

FOGLE

Business Name

JAMIE LORENE FOGLE

Original Issue Date

10/28/1994

Effective Date

10/28/1994

Expiration Date

03/31/1995

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005