AGNES JEANNINE MENNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153585

License Status

INACTIVE

Business

First Name

AGNES

Middle

JEANNINE

Last Name

MENNER

Business Name

AGNES JEANNINE MENNER

Original Issue Date

03/11/2004

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

01/12/2010