SIMON JOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129721

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

JOSE

Business Name

SIMON JOSE

Original Issue Date

03/03/2000

Effective Date

03/03/2000

Expiration Date

03/31/2005

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005