JEANNIE L CLAYCOMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125791

License Status

NOT RENEWED

Business

First Name

JEANNIE

Middle

Last Name

CLAYCOMB

Business Name

JEANNIE L CLAYCOMB

Original Issue Date

05/07/1999

Effective Date

05/07/1999

Expiration Date

03/31/2000

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005