JACUELYN S EKSTROM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163604

License Status

INACTIVE

Business

First Name

JACUELYN

Middle

Last Name

EKSTROM

Business Name

JACUELYN S EKSTROM

Original Issue Date

09/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

01/06/2009