JESSICA MARIE DETREZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155660

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

MARIE

Last Name

DETREZ

Business Name

JESSICA MARIE DETREZ

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2005

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005