JACQUELINE M JELEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182923

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

JELEN

Business Name

JACQUELINE M JELEN

Original Issue Date

03/19/2008

Effective Date

03/19/2008

Expiration Date

03/31/2009

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2009