JACQUELINE REVELES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277385

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

REVELES

Business Name

JACQUELINE REVELES

Original Issue Date

11/16/2020

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022