KATRINA AMELIA JACQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130495

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

AMELIA

Last Name

JACQUEZ

Business Name

KATRINA AMELIA JACQUEZ

Original Issue Date

04/11/2000

Effective Date

04/12/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011