JEROME J SHALLON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060614

License Status

CANCELLED

Business

First Name

JEROME J

Last Name

SHALLON

Business Name

JEROME J SHALLON

Original Issue Date

11/16/1973

Effective Date

11/16/1973

Expiration Date

01/01/1997

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005