JANE ELLEN LUNDQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165467

License Status

NOT RENEWED

Business

First Name

JANE

Middle

ELLEN

Last Name

LUNDQUIST

Business Name

JANE ELLEN LUNDQUIST

Original Issue Date

12/08/2005

Effective Date

03/06/2009

Expiration Date

03/31/2010

City

HILLSDALE

State

Zip

61257

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010