JENNIFER L CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163726

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CHAMPION

Business Name

JENNIFER L CHAMPION

Original Issue Date

09/09/2005

Effective Date

09/09/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006