JENNIFER LYNN LILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136648

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

LILLY

Business Name

JENNIFER LYNN LILLY

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

03/31/2004

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005