JEANIE M WIREBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167519

License Status

NOT RENEWED

Business

First Name

JEANIE

Middle

Last Name

WIREBAUGH

Business Name

JEANIE M WIREBAUGH

Original Issue Date

04/10/2006

Effective Date

04/10/2006

Expiration Date

03/31/2007

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/14/2007