JACQUELYN MASSOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249569

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Last Name

MASSOTH

Business Name

JACQUELYN MASSOTH

Original Issue Date

04/03/2017

Effective Date

02/26/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019