JAZZMON RUBY WALLINGFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269542

License Status

NOT RENEWED

Business

First Name

JAZZMON

Middle

RUBY

Last Name

WALLINGFORD

Business Name

JAZZMON RUBY WALLINGFORD

Original Issue Date

11/26/2019

Effective Date

11/26/2019

Expiration Date

09/30/2020

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021