JASON J DEGENHART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111083

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

DEGENHART

Business Name

JASON J DEGENHART

Original Issue Date

07/13/1995

Effective Date

07/13/1995

Expiration Date

03/31/2003

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005