JACQUELYN ANN IVANKOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171062

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

ANN

Last Name

IVANKOVICH

Business Name

JACQUELYN ANN IVANKOVICH

Original Issue Date

09/05/2006

Effective Date

09/05/2006

Expiration Date

03/31/2007

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007