JACQUELINE A PANGBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123270

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

PANGBURN

Business Name

JACQUELINE A PANGBURN

Original Issue Date

10/19/1998

Effective Date

10/19/1998

Expiration Date

03/31/2006

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

05/11/2006