JILLIAN RENAE LASKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180067

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

RENAE

Last Name

LASKE

Business Name

JILLIAN RENAE LASKE

Original Issue Date

10/19/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009