JASON D PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136025

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

PARK

Business Name

JASON D PARK

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

03/31/2006

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/11/2006