JACKIE LYNN MUNDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198426

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LYNN

Last Name

MUNDT

Business Name

JACKIE LYNN MUNDT

Original Issue Date

05/18/2010

Effective Date

05/18/2010

Expiration Date

03/31/2011

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2015