GREGORY JACK ATWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061924

License Status

NOT RENEWED

Business

First Name

GREGORY JACK

Last Name

ATWOOD

Business Name

GREGORY JACK ATWOOD

Original Issue Date

07/19/1974

Effective Date

07/19/1974

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005