AGNES LEEANN JARVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264275

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

LEEANN

Last Name

JARVIS

Business Name

AGNES LEEANN JARVIS

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021