SHAYLENE MARIE JESSUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192626

License Status

NOT RENEWED

Business

First Name

SHAYLENE

Middle

MARIE

Last Name

JESSUP

Business Name

SHAYLENE MARIE JESSUP

Original Issue Date

06/25/2009

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/07/2012