JACQUELIN K KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144770

License Status

NOT RENEWED

Business

First Name

JACQUELIN

Middle

Last Name

KIRK

Business Name

JACQUELIN K KIRK

Original Issue Date

09/24/2002

Effective Date

09/24/2002

Expiration Date

03/31/2003

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005