JACLYN LOUISE MOTHERSHED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159454

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

LOUISE

Last Name

MOTHERSHED

Business Name

JACLYN LOUISE MOTHERSHED

Original Issue Date

03/02/2005

Effective Date

02/17/2012

Expiration Date

03/31/2013

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013