JESSICA REAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173823

License Status

NOT RENEWED

Business

First Name

JESSICA

Last Name

REAVIS

Business Name

JESSICA REAVIS

Original Issue Date

01/23/2007

Effective Date

01/23/2007

Expiration Date

03/31/2008

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008