JENNIFER LYNN GRACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128124

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

GRACE

Business Name

JENNIFER LYNN GRACE

Original Issue Date

11/05/1999

Effective Date

11/05/1999

Expiration Date

03/31/2006

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

05/11/2006