JACLYN T CONWAY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266073

License Status

NOT RENEWED

Business

Title

First Name

JACLYN

Middle

Last Name

CONWAY

Business Name

JACLYN T CONWAY MD

Original Issue Date

06/17/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021