JESSICA MARIE HALVORSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155478

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

MARIE

Last Name

HALVORSON

Business Name

JESSICA MARIE HALVORSON

Original Issue Date

06/21/2004

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010