JAIME M MAHNESMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139700

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

MAHNESMITH

Business Name

JAIME M MAHNESMITH

Original Issue Date

12/26/2001

Effective Date

12/26/2001

Expiration Date

03/31/2003

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2002003991

Action

Suspension

Discipline Start Date

02/25/2004

Discipline Reason

Diverted controlled substances while employed at Target Pharmacy in Galesburg.