JILL RENE MASSENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123240

License Status

NOT RENEWED

Business

First Name

JILL

Middle

RENE

Last Name

MASSENA

Business Name

JILL RENE MASSENA

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

03/31/2003

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005