JACQUELYN KAY TEDFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134675

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

KAY

Last Name

TEDFORD

Business Name

JACQUELYN KAY TEDFORD

Original Issue Date

02/22/2001

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012