PAUL JASON PRAIRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126032

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

JASON

Last Name

PRAIRIE

Business Name

PAUL JASON PRAIRIE

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

03/31/2000

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005