JESSE P POVOLISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143245

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

Last Name

POVOLISH

Business Name

JESSE P POVOLISH

Original Issue Date

06/17/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/06/2009