JACKIE LYNN CONKLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127537

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LYNN

Last Name

CONKLE

Business Name

JACKIE LYNN CONKLE

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005