JACQUELINE DALLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171608

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

DALLAS

Business Name

JACQUELINE DALLAS

Original Issue Date

09/26/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008