JONATHAN M IDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114016

License Status

NOT RENEWED

Business

First Name

JONATHAN M

Last Name

IDA

Business Name

JONATHAN M IDA

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

03/31/1998

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005