JENNA L HUMISTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244645

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

Last Name

HUMISTON

Prefix

Business Name

JENNA L HUMISTON

Original Issue Date

09/13/2016

Effective Date

04/11/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018