JASON MICHAEL CARGILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138558

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

CARGILL

Business Name

JASON MICHAEL CARGILL

Original Issue Date

10/04/2001

Effective Date

10/04/2001

Expiration Date

03/31/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005