JENNIFER R CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164554

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CHURCH

Business Name

JENNIFER R CHURCH

Original Issue Date

10/03/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/14/2007