JENNIE NICOLE BUSHELL - Pharmacist License in Illinois | # 049157567

JENNIE NICOLE BUSHELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157567

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005