JOLENE A LISTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140034

License Status

NOT RENEWED

Business

First Name

JOLENE

Middle

Last Name

LISTER

Business Name

JOLENE A LISTER

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2004

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/20/2005