JENNIE NICOLE BUSHELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157567

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

NICOLE

Last Name

BUSHELL

Business Name

JENNIE NICOLE BUSHELL

Original Issue Date

10/22/2004

Effective Date

10/22/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005