JENNIFER MARIE BACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148611

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

BACON

Business Name

JENNIFER MARIE BACON

Original Issue Date

05/29/2003

Effective Date

05/29/2003

Expiration Date

03/31/2004

City

BUCKNER

State

Zip

62819

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005