JASON GRETZ SHEPARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124828

License Status

NOT RENEWED

Business

First Name

JASON

Middle

GRETZ

Last Name

SHEPARD

Business Name

JASON GRETZ SHEPARD

Original Issue Date

02/25/1999

Effective Date

02/25/1999

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005