JACQUE R WYFFELS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209713

License Status

NOT RENEWED

Business

First Name

JACQUE

Middle

Last Name

WYFFELS

Business Name

JACQUE R WYFFELS

Original Issue Date

03/14/2012

Effective Date

03/14/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013