JESSICA BROOKE DETWILER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119406

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

BROOKE

Last Name

DETWILER

Business Name

JESSICA BROOKE DETWILER

Original Issue Date

11/19/1997

Effective Date

11/19/1997

Expiration Date

03/31/1999

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/17/2005