JENESSA M TRACE - Pharmacist License in Illinois | # 049129688

JENESSA M TRACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129688

License Status

NOT RENEWED

Business

N

First Name

JENESSA

Middle

M

Last Name

TRACE

Business Name

JENESSA M TRACE

Original Issue Date

03/02/2000

Effective Date

03/02/2000

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006