JENNIFER MARIE BACON - Pharmacist License in Illinois | # 049148611

JENNIFER MARIE BACON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148611

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005