JACK W LIPSCOMB Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070890

License Status

CANCELLED

Business

First Name

JACK W

Last Name

LIPSCOMB

Business Name

JACK W LIPSCOMB

Original Issue Date

03/23/1979

Effective Date

03/23/1979

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005