JENNIFER C CONRAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114595

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CONRAD

Business Name

JENNIFER C CONRAD

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

03/31/1997

City

WINAMAC

State

Zip

46996

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005