JILL MARIE POWELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040039

License Status

INACTIVE

Business

First Name

JILL MARIE

Last Name

POWELL

Business Name

JILL MARIE POWELL

Original Issue Date

10/11/1994

Effective Date

10/11/1994

Expiration Date

03/31/2004

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005