JACQUELINE L DEMUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112262

License Status

NOT RENEWED

Business

First Name

JACQUELINE L

Last Name

DEMUTH

Business Name

JACQUELINE L DEMUTH

Original Issue Date

10/28/1995

Effective Date

10/28/1995

Expiration Date

03/31/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005