JACKIE LYNN PITCHFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179477

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LYNN

Last Name

PITCHFORD

Business Name

JACKIE LYNN PITCHFORD

Original Issue Date

09/26/2007

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012