JILLIAN C HENNENFENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206425

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

HENNENFENT

Business Name

JILLIAN C HENNENFENT

Original Issue Date

09/01/2011

Effective Date

03/31/2015

Expiration Date

03/31/2016

City

JOY

State

Zip

61260

County

MERCER

Ever Disciplined

LastModifiedDate

05/20/2016