JAN FOUNTAIN - Pharmacist License in Illinois | # 049065762

JAN FOUNTAIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065762

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005