JENESSA M TRACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129688

License Status

NOT RENEWED

Business

First Name

JENESSA

Middle

Last Name

TRACE

Business Name

JENESSA M TRACE

Original Issue Date

03/02/2000

Effective Date

03/02/2000

Expiration Date

03/31/2006

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006