JADRIEN RACHELLE KOMNICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148362

License Status

NOT RENEWED

Business

First Name

JADRIEN

Middle

RACHELLE

Last Name

KOMNICK

Business Name

JADRIEN RACHELLE KOMNICK

Original Issue Date

04/28/2003

Effective Date

04/28/2003

Expiration Date

03/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005