JEANNIE L CLAYCOMB - Pharmacist License in Illinois | # 049125791

JEANNIE L CLAYCOMB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125791

License Status

NOT RENEWED

Business

N

First Name

JEANNIE

Middle

L

Last Name

CLAYCOMB

Business Name

JEANNIE L CLAYCOMB

Original Issue Date

05/07/1999

Effective Date

05/07/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005