JACLYN E STAYBACK - Pharmacist License in Illinois | # 049203008

JACLYN E STAYBACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203008

License Status

NOT RENEWED

Business

N

First Name

JACLYN

Middle

E

Last Name

STAYBACK

Business Name

JACLYN E STAYBACK

Original Issue Date

03/04/2011

Effective Date

04/01/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016