JASON R VAN STAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115161

License Status

NOT RENEWED

Business

First Name

JASON R

Last Name

VAN STAN

Business Name

JASON R VAN STAN

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

03/31/2003

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005