JACK M ATCHISON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115991

License Status

NOT RENEWED

Business

First Name

JACK M

Last Name

ATCHISON JR

Business Name

JACK M ATCHISON JR

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

03/31/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

12/06/2005