CHARLES JOHN SMALL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026612

License Status

INACTIVE

Business

First Name

CHARLES JOHN

Last Name

SMALL

Business Name

CHARLES JOHN SMALL

Original Issue Date

01/01/1997

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

CLIVE

State

Zip

50325

Ever Disciplined

LastModifiedDate

01/09/2014