GENNESIS S JACA - Pharmacist License in Illinois | # 049227377

GENNESIS S JACA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227377

License Status

NOT RENEWED

Business

N

First Name

GENNESIS

Middle

S

Last Name

JACA

Prefix

MR

Business Name

GENNESIS S JACA

Original Issue Date

08/25/2014

Effective Date

03/15/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016