ALISSA MICHELLE JENKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173201

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

MICHELLE

Last Name

JENKINS

Business Name

ALISSA MICHELLE JENKINS

Original Issue Date

12/14/2006

Effective Date

02/26/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011