EDWARD JAY SONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137867

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

JAY

Last Name

SONG

Business Name

EDWARD JAY SONG

Original Issue Date

08/29/2001

Effective Date

08/29/2001

Expiration Date

03/31/2002

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005