JACLYN RENEE MOELLER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164086

License Status

INACTIVE

Business

First Name

JACLYN

Middle

RENEE

Last Name

MOELLER

Business Name

JACLYN RENEE MOELLER

Original Issue Date

09/21/2005

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

MUKWONAGO

State

Zip

53149

Ever Disciplined

LastModifiedDate

01/12/2010