JERRY S BANAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128595

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

BANAS

Business Name

JERRY S BANAS

Original Issue Date

12/15/1999

Effective Date

12/15/1999

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005