JENNIFER E ETHEREDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203368

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ETHEREDGE

Business Name

JENNIFER E ETHEREDGE

Original Issue Date

03/28/2011

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

VERMONT

State

Zip

61484

County

FULTON

Ever Disciplined

LastModifiedDate

05/07/2012