JAE SUN PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066502

License Status

NOT RENEWED

Business

First Name

JAE SUN

Last Name

PARK

Business Name

JAE SUN PARK

Original Issue Date

12/03/1976

Effective Date

12/03/1976

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005