JACK R FETTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074334

License Status

NOT RENEWED

Business

First Name

JACK R

Last Name

FETTMAN

Business Name

JACK R FETTMAN

Original Issue Date

03/16/1981

Effective Date

03/16/1981

Expiration Date

03/31/1982

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005