JASON S BUCKHOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091434

License Status

NOT RENEWED

Business

First Name

JASON S

Last Name

BUCKHOLD

Business Name

JASON S BUCKHOLD

Original Issue Date

10/14/1989

Effective Date

10/14/1989

Expiration Date

03/31/1991

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005