JILL N FERTIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153467

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

FERTIG

Business Name

JILL N FERTIG

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

03/31/2006

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006