JILL KRISTINE PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169178

License Status

NOT RENEWED

Business

First Name

JILL

Middle

KRISTINE

Last Name

PATRICK

Business Name

JILL KRISTINE PATRICK

Original Issue Date

06/07/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NEW HOLLAND

State

Zip

62671

County

LOGAN

Ever Disciplined

LastModifiedDate

05/02/2008