JADE MARIE STURDIVANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260526

License Status

NOT RENEWED

Business

First Name

JADE

Middle

MARIE

Last Name

STURDIVANT

Business Name

JADE MARIE STURDIVANT

Original Issue Date

10/10/2018

Effective Date

10/10/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019