JASON RICHARD MINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118966

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RICHARD

Last Name

MINES

Business Name

JASON RICHARD MINES

Original Issue Date

10/03/1997

Effective Date

10/03/1997

Expiration Date

03/31/1999

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005