JACQUELINE LYNN GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163904

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

LYNN

Last Name

GONZALEZ

Business Name

JACQUELINE LYNN GONZALEZ

Original Issue Date

09/15/2005

Effective Date

03/24/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016