JILL K VERCHOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150769

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

VERCHOTA

Business Name

JILL K VERCHOTA

Original Issue Date

09/23/2003

Effective Date

09/23/2003

Expiration Date

03/31/2005

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005