JASON DAVID COLBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122886

License Status

NOT RENEWED

Business

First Name

JASON

Middle

DAVID

Last Name

COLBURN

Business Name

JASON DAVID COLBURN

Original Issue Date

09/25/1998

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008