JALISA RAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236310

License Status

NOT RENEWED

Business

First Name

JALISA

Last Name

RAINES

Prefix

Business Name

JALISA RAINES

Original Issue Date

09/22/2015

Effective Date

09/22/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016