JEROME M MITACEK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019783

License Status

INACTIVE

Business

First Name

JEROME M

Last Name

MITACEK

Business Name

JEROME M MITACEK

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

SPRINGDALE

State

Zip

72764

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/17/2005