JESSICA N KETTELKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196280

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

KETTELKAMP

Business Name

JESSICA N KETTELKAMP

Original Issue Date

01/19/2010

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/12/2011