JODY LYNN WAHLFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173365

License Status

NOT RENEWED

Business

First Name

JODY

Middle

LYNN

Last Name

WAHLFIELD

Business Name

JODY LYNN WAHLFIELD

Original Issue Date

12/27/2006

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

FOREST CITY

State

Zip

61532

County

MASON

Ever Disciplined

LastModifiedDate

05/12/2011