JACLYN E STAYBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203008

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

Last Name

STAYBACK

Business Name

JACLYN E STAYBACK

Original Issue Date

03/04/2011

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016