RAYBON JAYNE NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154554

License Status

NOT RENEWED

Business

First Name

RAYBON

Middle

JAYNE

Last Name

NELSON

Business Name

RAYBON JAYNE NELSON

Original Issue Date

05/24/2004

Effective Date

05/24/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005