JASON A LIED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127701

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

LIED

Business Name

JASON A LIED

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

03/31/2002

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005