JENNA LYNN STAUB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166956

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

LYNN

Last Name

STAUB

Business Name

JENNA LYNN STAUB

Original Issue Date

03/22/2006

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

SUGAR GROVE

State

Zip

60554

Ever Disciplined

LastModifiedDate

05/07/2012