JENNIFER MARIE REAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119997

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

REAVIS

Business Name

JENNIFER MARIE REAVIS

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

03/31/2001

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005