JACUELYN S EKSTROM - Pharmacist License in Illinois | # 049163604

JACUELYN S EKSTROM

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163604

License Status

INACTIVE

Business

N

First Name

JACUELYN

Middle

S

Last Name

EKSTROM

Business Name

JACUELYN S EKSTROM

Original Issue Date

09/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2009