JACKIE D MAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085899

License Status

NOT RENEWED

Business

First Name

JACKIE D

Last Name

MAINE

Business Name

JACKIE D MAINE

Original Issue Date

01/20/1988

Effective Date

01/20/1988

Expiration Date

03/31/1997

City

KENNER

State

Zip

70065

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/17/2005