JENNIFER M PETROLATI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286196

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PETROLATI

Business Name

JENNIFER M PETROLATI

Original Issue Date

08/18/1997

Effective Date

03/20/2014

Expiration Date

03/31/2016

City

PORTLAND

State

Zip

97211

County

OREGON

Ever Disciplined

LastModifiedDate

05/20/2016