JACKLYN MARIE FONDREN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135927

License Status

INACTIVE

Business

First Name

JACKLYN

Middle

MARIE

Last Name

FONDREN

Business Name

JACKLYN MARIE FONDREN

Original Issue Date

04/18/2001

Effective Date

02/04/2009

Expiration Date

03/31/2010

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

01/12/2010