JERILYN LEE POLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163891

License Status

NOT RENEWED

Business

First Name

JERILYN

Middle

LEE

Last Name

POLSON

Business Name

JERILYN LEE POLSON

Original Issue Date

09/14/2005

Effective Date

02/15/2018

Expiration Date

03/31/2019

City

RANKIN

State

Zip

60960

County

VERMILION

Ever Disciplined

LastModifiedDate

07/15/2019