RAELENE LILLY REYNOLDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197551

License Status

NOT RENEWED

Business

First Name

RAELENE

Middle

LILLY

Last Name

REYNOLDS

Business Name

RAELENE LILLY REYNOLDS

Original Issue Date

03/30/2010

Effective Date

02/07/2011

Expiration Date

03/31/2012

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/07/2012