KATRINA AMELIA JACQUEZ - Pharmacist License in Illinois | # 049130495

KATRINA AMELIA JACQUEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130495

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011