JESSICA M SQUIRES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151591

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

SQUIRES

Business Name

JESSICA M SQUIRES

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2005

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005