JASON W BORLICK - Pharmacist License in Indiana | # 049144312

JASON W BORLICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144312

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

W

Last Name

BORLICK

Business Name

JASON W BORLICK

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

03/31/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005