JEROME M MITACEK - Pharmacist License in Arkansas | # 051019783

JEROME M MITACEK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019783

License Status

INACTIVE

Business

N

First Name

JEROME M

Last Name

MITACEK

Business Name

JEROME M MITACEK

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

AR

Ever Disciplined

N

LastModifiedDate

10/17/2005