JENNIFER DIANA SCULLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198792

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DIANA

Last Name

SCULLY

Business Name

JENNIFER DIANA SCULLY

Original Issue Date

06/10/2010

Effective Date

06/10/2010

Expiration Date

03/31/2011

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011