JENNIFER K MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216609

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MAXWELL

Business Name

JENNIFER K MAXWELL

Original Issue Date

03/18/2013

Effective Date

03/06/2014

Expiration Date

03/31/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/11/2015