JADA LEE BIRCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150566

License Status

NOT RENEWED

Business

First Name

JADA

Middle

LEE

Last Name

BIRCH

Business Name

JADA LEE BIRCH

Original Issue Date

09/15/2003

Effective Date

03/11/2010

Expiration Date

03/31/2011

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/12/2011