JACLYN NICOLE BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225407

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

NICOLE

Last Name

BENNETT

Business Name

JACLYN NICOLE BENNETT

Original Issue Date

05/27/2014

Effective Date

05/27/2014

Expiration Date

03/31/2015

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/11/2015