JEFFREY DAROL HIROTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058006

License Status

NOT RENEWED

Business

First Name

JEFFREY DAROL

Last Name

HIROTA

Business Name

JEFFREY DAROL HIROTA

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005