JENNIFER N WIDENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112890

License Status

NOT RENEWED

Business

First Name

JENNIFER N

Last Name

WIDENER

Business Name

JENNIFER N WIDENER

Original Issue Date

01/02/1996

Effective Date

01/02/1996

Expiration Date

03/31/1997

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005