JACK D KNUDTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063605

License Status

NOT RENEWED

Business

First Name

JACK D

Last Name

KNUDTSON

Business Name

JACK D KNUDTSON

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005