JACQUELYN R CITUK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150510

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

Last Name

CITUK

Business Name

JACQUELYN R CITUK

Original Issue Date

09/05/2003

Effective Date

09/05/2003

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005