JACLYN M ROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161970

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

Last Name

ROMAN

Business Name

JACLYN M ROMAN

Original Issue Date

06/28/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007