JADE K NEWQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158332

License Status

NOT RENEWED

Business

First Name

JADE

Middle

Last Name

NEWQUIST

Business Name

JADE K NEWQUIST

Original Issue Date

12/14/2004

Effective Date

12/14/2004

Expiration Date

03/31/2006

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006