JACQUELINE ERLINE EDMONDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154272

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

ERLINE

Last Name

EDMONDSON

Business Name

JACQUELINE ERLINE EDMONDSON

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/20/2005