JILL M FERTIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169124

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

FERTIG

Business Name

JILL M FERTIG

Original Issue Date

06/06/2006

Effective Date

06/06/2006

Expiration Date

03/31/2007

City

GALESBURG

State

Zip

61401

County

HENDERSON

Ever Disciplined

LastModifiedDate

05/14/2007