JACQUELINE KIDD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165793

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

KIDD

Business Name

JACQUELINE KIDD

Original Issue Date

12/27/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008