JENNIFER NICOLE BORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129190

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

BORN

Business Name

JENNIFER NICOLE BORN

Original Issue Date

02/08/2000

Effective Date

02/08/2000

Expiration Date

03/31/2002

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

12/06/2005