CODY J JENKINS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191790

License Status

INACTIVE

Business

First Name

CODY

Middle

Last Name

JENKINS

Prefix

Business Name

CODY J JENKINS

Original Issue Date

05/19/2009

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/05/2011