LISA DIANNE JENKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165383

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DIANNE

Last Name

JENKINS

Business Name

LISA DIANNE JENKINS

Original Issue Date

12/05/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007