JESSICA BALTZELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238388

License Status

NOT RENEWED

Business

First Name

JESSICA

Last Name

BALTZELL

Prefix

Business Name

JESSICA BALTZELL

Original Issue Date

12/17/2015

Effective Date

12/17/2015

Expiration Date

03/31/2016

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

05/20/2016