JACLYN ANN ALTFILLISCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152299

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

ANN

Last Name

ALTFILLISCH

Business Name

JACLYN ANN ALTFILLISCH

Original Issue Date

12/02/2003

Effective Date

12/02/2003

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005