JAN FOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065762

License Status

NOT RENEWED

Business

First Name

JAN

Last Name

FOUNTAIN

Business Name

JAN FOUNTAIN

Original Issue Date

07/16/1976

Effective Date

07/16/1976

Expiration Date

03/31/1982

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005