DONETTA M JANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163443

License Status

NOT RENEWED

Business

First Name

DONETTA

Middle

Last Name

JANSEN

Business Name

DONETTA M JANSEN

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

03/31/2006

City

PLAINVILLE

State

Zip

62365

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2006