JENNIFER PUKHOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155034

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

PUKHOVICH

Business Name

JENNIFER PUKHOVICH

Original Issue Date

06/11/2004

Effective Date

03/02/2012

Expiration Date

03/31/2013

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013