JACK BURTIS RICH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030085

License Status

INACTIVE

Business

First Name

JACK BURTIS

Last Name

RICH

Business Name

JACK BURTIS RICH

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

03/31/1988

City

FORT MYERS

State

Zip

33908

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005