JENNIFER ANN VISSERING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165120

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

VISSERING

Business Name

JENNIFER ANN VISSERING

Original Issue Date

11/21/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009