JASON R HERRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116366

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

HERRICK

Business Name

JASON R HERRICK

Original Issue Date

01/30/1997

Effective Date

01/30/1997

Expiration Date

03/31/2005

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005