JEANETTE LYNN NEWNUM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170224

License Status

INACTIVE

Business

First Name

JEANETTE

Middle

LYNN

Last Name

NEWNUM

Business Name

JEANETTE LYNN NEWNUM

Original Issue Date

07/26/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/06/2009