JENNIE NI IRVING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216115

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

Last Name

IRVING

Prefix

Business Name

JENNIE NI IRVING

Original Issue Date

02/20/2013

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

01/08/2021