ELLEN SUE JENNINGS-FAIRFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174268

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

SUE

Last Name

JENNINGS-FAIRFIELD

Business Name

ELLEN SUE JENNINGS-FAIRFIELD

Original Issue Date

02/14/2007

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/10/2017