JASON A ETHERIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099470

License Status

NOT RENEWED

Business

First Name

JASON A

Last Name

ETHERIDGE

Business Name

JASON A ETHERIDGE

Original Issue Date

02/25/1992

Effective Date

02/25/1992

Expiration Date

03/31/1993

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005