JACK VICTOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049046806

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

VICTOR

Business Name

JACK VICTOR

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005