JETAUN S STALEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119768

License Status

NOT RENEWED

Business

First Name

JETAUN

Middle

Last Name

STALEY

Business Name

JETAUN S STALEY

Original Issue Date

01/08/1998

Effective Date

01/08/1998

Expiration Date

03/31/2006

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006